Sigmoid Volvulus: A Case Series, Review of the Literature and Current Treatment | Biomedgrid

A sigmoid volvulus occurs when a loop of the sigmoid colon twists around the mesentery, often leading to bowel obstruction and constipation. Patients with sigmoid volvulus can either present with insidious or an acute onset of abdominal pain, abdominal distension, nausea and constipation. Imaging is imperative to facilitate a timely sigmoid volvulus and radiologists and emergency physicians have to be aware of the apparent and subtler findings. A small case series is presented on sigmoid volvulus, which failed decompressive sigmoidoscopy and were successfully managed with a modified Paul Mikulicz operation.