Volume 28, Issue 145, March 2024

Gangrene sigmoid volvulus: A rare case report from Vietnam

Phu V Pham¹, Hoa T Tran^1,2, Duy HN Nguyen², Truong DA Nguyen², Lap B Duong¹

¹Department of Gastrointestinal Surgery, Binh Dan Hospital, Ho Chi Minh City, Vietnam
²Department of General Surgery, Pham Ngoc Thach Medical University, Ho Chi Minh City, Vietnam

ABSTRACT

Background: Sigmoid volvulus is a gastrointestinal condition and a medical emergency that occurs when a segment of the colon twists upon its mesentery, leading to bowel obstruction and gangrene of the intestine. Male patients and seniors with persistent constipation are the primary populations affected by this condition. We present a rare case of a gangrene sigmoid volvulus diagnosed timely by CT-Scan. Case presentation: A 72-year-old Vietnamese male with a 3-day history of abdominal pain presented at the emergency department. A thorough medical history and physical examination revealed signs of bowel obstruction without evidence of peritonitis. Computed CT confirmed the diagnosis of sigmoid volvulus; it also led the surgical team to the decision to conduct an emergency laparotomy surgery due to the sigmoid ischemic sign depicted on the CT scan. Conclusion: This case report emphasizes the importance of radiographic tests in diagnosing and treating bowel obstruction. Especially in suspicion of volvulus, even without signs of peritonitis.

Keywords: Sigmoid volvulus, Hartmann's procedure, bowel ischemia

Medical Science, 2024, 28, e10ms3297

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DOI: https://doi.org/10.54905/disssi.v28i145.e10ms3297

Published: 02 March 2024