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Query: UMLS:C0042961 (volvulus)
 4,305 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Volvulus of the transverse colon is rare. Sixty-six cases have been reported in the English medical literature, and three new cases are presented herein. The causative factors, classical clinical presentation, radiologic findings, and management have been addressed. It is believed that colonoscopy will have an increasing role in the diagnosis and treatment of this condition in the future.
Dis Colon Rectum 1983 Dec
PMID:Volvulus of the transverse colon. Reports of cases and review of the literature. 664 69

Sigmoid volvulus usually affects the elderly, but it is being increasingly described in a younger age group. In these patients the diagnosis is often delayed, due to a prolonged and intermittent history. Three patients, of 31,36, and 67 years, are described here, and they demonstrate an increased incidence within families, which has not been previously recognized. Awareness of this possibility may allow earlier diagnosis when investigating young patients with intermittent abdominal symptoms, whose relatives are known to be affected.
Dis Colon Rectum 1984 Apr
PMID:Sigmoid volvulus: new thoughts on the epidemiology. 671 35

Five cases of mobile cecum syndrome are presented. These patients all presented with chronic right lower quadrant abdominal pain with associated abdominal distention and symptomatic relief after passing flatus or having a bowel movement. Three patients had preoperative barium enemas demonstrating abnormal mobility of the cecum. On exploration, all patients were found to have the cecum and ascending colon unattached to the lateral peritoneum for 15 to 18 cm. All patients were treated by cecopexy, using a lateral peritoneal flap for fixation, and all have had relief of their pain. This technique is described and illustrated. Cecopexy is an effective method of fixing the cecum and prevents subsequent cecal volvulus. The diagnosis of mobile cecum syndrome should be considered in patients with chronic right lower quadrant pain.
Dis Colon Rectum 1984 Jun
PMID:Mobile cecum syndrome. 673 64

Geographic location of a population plays a significant role in the interpretation of symptoms of some diseases of the colon. Because diverticular disease of the colon is very rare in the tropics, frank rectal bleeding, which may be suggestive of bleeding diverticulosis when it occurs in a temperate region, is suggestive of a bleeding ileal typhoid ulcer eroding terminal branches of the superior mesenteric artery. Similarly, symptoms suggestive of ulcerative colitis in a temperate region are suggestive of amebic colitis in the tropics. Anatomic variation also plays a part in the nature of some disease processes. The high incidence of freely mobile cecum and ascending colon and the freely mobile redundant sigmoid colon, seen in a tropical population, play a part in the frequent occurrence of nontumid intussusception, relatively high incidence of sigmoid volvulus, and relatively high incidence of rectal prolapse seen in the area.
Dis Colon Rectum
PMID:Differences between surgical colorectal conditions seen in the temperate and tropical regions. 681 61

A case of amyloidosis of the colon associated with multiple myeloma is presented. The unusual situation was that of obstructive signs with radiologic features of "megacolon and volvulus." A high index of suspicion and meticulous histologic search will demonstrate involvement of the gastrointestinal tract in 98 per cent of patients with systemic amyloidosis. Amyloidosis may mimic other gastrointestinal disorders. Rectal biopsy is diagnostic in 75 per cent of the patients. Treatment of amyloidosis of the colon involves treating the cause with the hope of reversing or at least retarding the process. The results of treatment based on the available experience have been dismal.
Dis Colon Rectum 1983 Aug
PMID:Amyloidosis of the colon. Report of a case and review of the literature. 687 82

The most common cause of colonic obstruction is adenocarcinoma, followed by diverticulitis, volvulus, and a variety of miscellaneous causes. Most signs and symptoms, from whatever cause, consist of abdominal pain with distention and the inability to pass flatus or stool. The clinical diagnosis is confirmed by x-ray studies. Plain films of the abdomen in various positions, chest films, and the addition of contrast studies verify the cause of the obstruction in most instances. The differentiation between neoplasm and diverticulitis causing the obstruction can be difficult or impossible at times, and may become apparent only after the obstruction begins to resolve with conservative management, or the cause is discovered at surgery. The history of previous abdominal or pelvic irradiation, surgery, and inflammatory bowel disease often causes difficulty in the differential diagnosis.
Dis Colon Rectum 1982 Sep
PMID:The diagnosis of colonic obstruction. 711 69

Sixty-six consecutive patients, admitted to St. Vincent's Hospital, Melbourne, with sigmoid volvulus, fell into two groups, 60 without and six with acquired megacolon. In the former group, flatus tube decompression was usually successful, and sigmoid resection provided a cure. In the group with megacolon, the history was longer; patients more often had bowel symptoms before or between acute episodes of volvulus; flatus tube decompression was rarely successful; and symptoms persisted after sigmoidectomy and were sometimes associated with recurrence of volvulus of the new "sigmoid." It seems that nothing less than total colectomy will cure these patients.
Dis Colon Rectum 1982 Oct
PMID:Sigmoid volvulus with and without megacolon. 712 69

Sigmoid volvulus is often a surgical emergency. The diagnosis is usually reached on the basis of both clinical and radiologic assessment. A review of the radiologic findings in 20 patients diagnosed as having sigmoid volvulus is presented. Typical radiographic features are illustrated. Reasons for their absence in certain cases are discussed. [Key words: Volvulus, sigmoid; Diagnostic problems; Sigmoid, volvulus].
Dis Colon Rectum 1981 Oct
PMID:Radiology of sigmoid volvulus. 729 59

Between 1970 and 1980, 12 patients were admitted 16 times to San Bernardino County Medical Center for sigmoid volvulus. The seven men and five women averaged 68.5 years old. Sixty-seven per cent recounted histories of neuropsychiatric disorders. Fifty per cent had been institutionalized. Forty-two per cent had endured previous episodes of sigmoid volvulus. Fourteen of 24 nonoperative attempts at reduction were successful but were followed by nine recurrences. Ten of 12 patients eventually underwent surgery. Eight procedures were electively scheduled following spontaneous or nonoperative reductions. Two emergency procedures for gangrenous colons were required. Both of these patients died. Mortality following elective surgery was 25 per cent. Twenty-nine major complications followed the ten procedures. All ten patients underwent sigmoid resections. Follow-up disclosed only two living patients. Only five had survived one year following initial hospitalization and only two for two years. The high mortality of this and other American series was attributed to the frail nature of the elderly, debilitated, institutionalized patients with neuropsychiatric and multiple medical disorders, who develop sigmoid volvulus in the United States. [Key words: Volvulus, sigmoid, Sigmoid, surgical treatment].
Dis Colon Rectum 1981 Oct
PMID:Sigmoid volvulus: high mortality in county hospital patients. 729 60

This is the first case report of gangrenous colon from volvulus of the splenic flexure. It is also the first reported treatment of splenic flexure volvulus by exteriorization of the splenic flexure as a loop colostomy. Splenic flexure volvulus has veen a rare cause of mechanical obstruction, producing 1 per cent of colonic volvuluses. Fourteen detailed case reports of splenic flexure volvulus were reviewed. Patients averaged 53.2 years old. Eight of 14 were women. Previous abdominal surgery, anomalies of fixation, and constipation played important roles in the pathogenesis. Diagnosis was made before surgery in two-thirds of the patients. Treatment varied. One patient died without treatment. In two, the volvulus reduced spontaneously. Eleven required emergency surgery. Three underwent operative detorsion, one exteriorization of the splenic flexure as a loop colostomy (the present report), and six partial colectomy. All treated patients survived without recurrence of volvulus. Thus, there was only one death in 14 cases, a seven per cent mortality rate. This low mortality rate was attributed to the rarity of gangrenous colon from splenic flexure volvulus.
Dis Colon Rectum
PMID:Volvulus of the splenic flexure: report of a case and review of the literature. 731 31


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