Year 2025 / Volume 117 / Number 10
Letter
Sigmoid volvulus with 25 episodes

592-593

DOI: 10.17235/reed.2024.10624/2024

Sabri Selcuk Atamanalp, Esra Disci, Rifat Peksoz, Enes Agirman,

Abstract
We report the case of a 74-year-old male with abdominal pain, distention and obstipation for 8 hours. He had a medical history of 24 sigmoid volvulus (SV) episodes, 23 of which treated with endoscopic detorsion, while one resolved spontaneously. Physical examination revealed abdominal distention, tenderness, hyperkinetic bowel sound and an empty rectum. Abdominal X-ray radiograph revealed dilated sigmoid loops with coffee bean sign. Computed tomography demonstrated dilated sigmoid loops with air-fluid levels and mesenteric whirl sign. Flexible colonoscopy showed a spiral-like luminal obstruction of the viable sigmoid colon at 18 cm from anal verge. A successful colonoscopic detorsion was performed. Due to the poor general health status of the patient (American Society of Anesthesiologists-ASA score 4) arising from serious comorbidities including coarctation of aorta and coronary disease, percutaneous endoscopic colostomy was suggested instead of elective sigmoid colectomy. He did not approve adjunctive therapy and was discharged following 24-hour observation.
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References
1. Disci E, Peksoz R, Agirman E, Atamanalp SS. Multiplex attacks in sigmoid volvulus. Pak J Med Sci 2024;40:1185-9. DOI: 10.12669/pjms.40.6.9172
2. Web of Science. Sigmoid volvulus. 2024 (cited 1 July 2024). Available from: https://www.webofscience.com/wos/woscc/summary/01d65e3b-185e-4d85-b15f-eb328204ecc9-f6d5e91c/recently-added/1
3. Atamanalp SS, Disci E, Tatar Atamanalp C, Atamanalp RS. Spontaneous detorsion of sigmoid volvulus in a patient with nineteen-volvulus episode history: A rare outcome of an extremely rare clinical entity. Pak J Med Sci 2021;37:2029-31. DOI: 10.12669/pjms.37.7.4703
4. Johansson N, Rosemar A, Angenete E. Risk of recurrence of sigmoid volvulus: a single-centre cohort study. Colorectal Dis 2018;20:529-35. DOI: 10.1111/codi.13972
5. Atamanalp SS. Endoscopic decompression of sigmoid volvulus: Review of 748 patients. J Laparoendosc Adv Surg Tech 2022;32:763-7. DOI: 10.1089/lap.2021.0613
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Atamanalp S, Disci E, Peksoz R, Agirman E. Sigmoid volvulus with 25 episodes. 10624/2024


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Publication history

Received: 01/07/2024

Accepted: 05/07/2024

Online First: 01/08/2024

Published: 10/10/2025

Article Online First time: 31 days

Article editing time: 466 days


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