Abstract
Sigmoid volvulus is an extremely rare disease among young adults. This may cause delay in diagnosis and treatment and so it may cause life threatening ischemia and necrosis at the colon. In this article we present the case which was confirmed to be sigmoid volvulus with tomographic examinations which was carried upon suspicion of sigmoid volvulus in a 17 years old girl who attended with increasing abdominal pain, constipation, obstipation and distention complaints. Taking a detailed history, performing a physical examination and evaluation of laboratory tests of a patient presenting with complaints like abdominal pain, constipation and distention are the most essential steps to diagnose the sigmoid volvulus. The most important method for early diagnosis in young adults is to keep the diagnosis in mind. So it would be possible to plan advanced radiologic and endoscopic examinations which would confirm the diagnosis. J Clin Exp Invest 2014; 5 (1): 122-125
Keywords
References
- Weingrow D, McCague A, Shah R, Lalezarzadeh F. Delayed presentation of sigmoid volvulus in a young woman. West J Emerg Med 2012;13:100-102.
- McCalla TH, Arensman RM, Falterman KW. Sigmoid volvulus in children. Am Surg 1985;51:514-519.
- Onder A, Kapan M, Arikanoglu Z, et al. Sigmoid colon torsion: mortality and relevant risk factors. Eur Rev Med Pharmacol Sci 2013;17:127-132.
- Salinas NL, Carr SR, Han D, Mahmoud NN. A sur- prising twist to an old problem: sigmoid volvulus in a 19-year-old man. Am Surg 2007;73:284-286.
- Rabinovici R, Simansky DA, Kaplan O, et al. Cecal vol- vulus. Dis Colon Rectum 1990;33:765-769.
- Chang CJ, Hsieh TH, Tsai KC, Fan CM. Sigmoid Volvu- lus in a Young Woman Nearly Misdiagnosed As Fecal Impaction. J Emerg Med 2013;44:611-613.
Abstract
Sigmoid volvulus genç erişkinlerde oldukça nadir görülen bir hastalıktır. Bu durum tanı ve tedavi girişimlerinde gecikmeye neden olarak kolonda hayatı tehdit eden iskemi ve nekroz gelişmesine yol açabilir. Bu yazıda giderek artan karın ağrısı, konstipasyon, obstipasyon ve distansiyon şikayetleriyle acil servise başvuran 17 yaşındaki genç kız hastada sigmoid volvulus tanısından şüphelenilerek yapılan tomografik incelemede tanısı doğrulanan olguyu sunduk. Tanıdaki en önemli adım karın ağrısı, konstipasyon, distansiyon gibi şikayetlerle başvuran hastalarda ayrıntılı bir öykü, fizik muayene ve uygun laboratuar testlerinin incelenmesi ile hekimin tanıdan şüphelenmesidir. Genç hastalarda erken tanıya götürecek en önemli yol öncelikle tanının akılda bulundurulmasıdır. Böylece tanıyı doğrulayacak ileri radyolojik ve endoskopik incelemelerin zaman kaybedilmeden planlanması mümkün olacaktır.
Keywords
References
- Weingrow D, McCague A, Shah R, Lalezarzadeh F. Delayed presentation of sigmoid volvulus in a young woman. West J Emerg Med 2012;13:100-102.
- McCalla TH, Arensman RM, Falterman KW. Sigmoid volvulus in children. Am Surg 1985;51:514-519.
- Onder A, Kapan M, Arikanoglu Z, et al. Sigmoid colon torsion: mortality and relevant risk factors. Eur Rev Med Pharmacol Sci 2013;17:127-132.
- Salinas NL, Carr SR, Han D, Mahmoud NN. A sur- prising twist to an old problem: sigmoid volvulus in a 19-year-old man. Am Surg 2007;73:284-286.
- Rabinovici R, Simansky DA, Kaplan O, et al. Cecal vol- vulus. Dis Colon Rectum 1990;33:765-769.
- Chang CJ, Hsieh TH, Tsai KC, Fan CM. Sigmoid Volvu- lus in a Young Woman Nearly Misdiagnosed As Fecal Impaction. J Emerg Med 2013;44:611-613.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | March 1, 2014 |
| Published in Issue | Year 2014 Volume: 5 Issue: 1 |