Sigmoid volvulus: diagnostic twists and turns

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
Ling Tiah, Siang Hiong Goh

Abstract

The purpose of this study was to describe the clinical profile of patients with sigmoid volvulus and highlight the diagnostic difficulties and pitfalls. This was a retrospective descriptive study of patients with sigmoid volvulus seen at a community hospital over a 5-year period from July 1999 to July 2004. Twenty-eight cases of sigmoid volvulus were identified, of which 16 were male and 12 female. The median age was 74 years. Twenty-seven were Chinese and one was Malay. Seven out of 28 patients were from nursing institutes while the rest came from their own homes. Eleven were bedridden and chronic constipation was a problem for 17 patients. Co-existing medical illnesses, including neuropsychiatric conditions, were common. Abdominal distension and pain were the most frequent presentations (26 and 21 patients, respectively). Twelve patients had constipation and 11 had diarrhoea. Only nine had the complete typical triad of abdominal distension, pain and constipation. The classical coffee-bean sign was identified in nine out of 26 initial plain abdominal radiographs done at the emergency department and a further 11 were diagnosed after review by the surgical team in the ward. Another four were identified only after computed tomogr...Continue Reading

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Citations

Jan 1, 2009·International Journal of Emergency Medicine·Brian Darryl Moseley, Anjali Bhagra
Jan 16, 2008·World Journal of Surgery·Hussein A HeisMohammed S Obeidallah
Oct 20, 2012·The Journal of Emergency Medicine·Chih-Jung ChangChieh-Min Fan
Oct 3, 2008·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Nicholas J TalleyCharles L Baum
May 3, 2016·Journal of Visceral Surgery·L PerrotJ Lubrano
Sep 26, 2017·Intractable & Rare Diseases Research·Moaziz SarfarazShahid Lateef

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