AN INTRICATE CASE OF SIMULTANEOUS VOLVULUS ON MEGADOLICHOSIGMOID AND JEJUNUM

Aurelia Nicoleta Sanda1, Roxana Florina Ristea1, A.G. Gangură 1,2
1The University Emergency Hospital of Bucharest, Romania
2”Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Corresponding author: Gangura Andrei Gabriel
Phone no. 0040724525524
E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Abstract

We present a case of simultaneous volvulus on megadolichocolon and jejunum in a 70-year-old patient with no previous abdominal condition. Volvulus is pathology worth to be considered in patients with acute abdominal pain and distension as it has a fast progression to an abdominal catastrophe where prompt diagnosis is crucial. It is an important surgical emergency that imposes immediate unravel of affected bowel. The goal of the management includes restoring the hemodynamic balance of the patient, immediate reduction of the volvulus and relief of the obstruction. Although most of the times the diagnosis of colonic volvulus is easily confirmed by plain abdominal x-ray, an intricate case such as the presented one can be regarded as a multidisciplinary challenge. The mortality rate can be as high as 20-25%, depending on the delay at presentation before treatment is sought.

Keywords: Megadolichosigmoid, Volvulus, Emergency, Abdominal acute pain and distention

Friday the 15th.