scholarly journals Very rare case of synchronous volvulus of the sigmoid colon and caecum causing large-bowel obstruction

2019 ◽  
Vol 12 (1) ◽  
pp. bcr-2018-227375 ◽  
Author(s):  
Susmit Prosun Roy ◽  
Yeng Kwang Tay ◽  
Daniel Kozman
Keyword(s):  
Sigmoid Colon ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Rare Case ◽  
Total Colectomy ◽  
Large Bowel Obstruction ◽  
Rare Entity ◽  
Common Site ◽  
Colonic Volvulus ◽  
Life Threatening

Large-bowel obstruction caused by volvulus is potentially life threatening if not managed promptly. Sigmoid colon is the most common site of volvulus followed by caecum. Synchronous double colonic volvulus is an exceedingly rare entity, with only five cases published previously. We present the case of a 77-year-old man with a synchronous sigmoid and caecal volvulus. He underwent total colectomy with ileostomy formation with a view to reverse the ileostomy at a later date.

scholarly journals Large Bowel Obstruction Due to a Big Gallstone Successfully Treated with Endoscopic Mechanical Lithotripsy

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Marco Balzarini ◽  
Laura Broglia ◽  
Giovanni Comi ◽  
Calcedonio Calcara
Keyword(s):  
High Risk ◽  
Sigmoid Colon ◽  
Surgical Management ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Colonic Obstruction ◽  
Gallstone Ileus ◽  
Large Bowel Obstruction ◽  
Mechanical Lithotripsy ◽  
Mechanical Bowel Obstruction

Colonic gallstone ileus in an uncommon mechanical bowel obstruction caused by intraluminal impaction of one or more gallstones. The surgical management of gallstone ileus is complex and is potentially of high risk. There have been reports of gallstone extractions using various endoscopic modalities to relieve the obstruction. In this report we present the technique employed to successfully perform a mechanical lithotripsy and extraction of a large gallstone embedded in a sigmoid colon affected by diverticular stenosis. We passed through the stenosis with a 11.3 mm videoscope with 3.7 mm channel. A large lithotripsy extraction basket was used to catch and break up the stone and fragments were removed using the same basket. The patient was discharged asymptomatic three days after the procedure. Using appropriate devices mechanical lithotripsy is a safe and effective method to treat colonic obstruction and avoid surgery in the setting of gallstone ileus even in case of big stones.

Synchronic Volvulus of Sigmoid and Transverse Colon: A Rare Case of Large Bowel Obstruction

2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Alireza Hoseini ◽  
Reza Eshragi Samani ◽  
Hamed Parsamoin ◽  
Hamidreza Jafari
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Transverse Colon ◽  
Rare Case ◽  
Large Bowel Obstruction

Large bowel obstruction in pregnancy: a rare entity, an unusual cause

2008 ◽  
Vol 279 (2) ◽  
pp. 177-178 ◽  
Author(s):  
Muhammad S. Mirza ◽  
Mubashir Mulla ◽  
Richard I. Hall
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Large Bowel Obstruction ◽  
Rare Entity ◽  
In Pregnancy

scholarly journals Sigmoid colon endometriotic mass. A rare cause of complete large bowel obstruction

2015 ◽  
Vol 36 (5) ◽  
pp. 630-633 ◽  
Author(s):  
Hamad Al-Qahtani ◽  
Haitham Alfalah ◽  
Reem Al-Salamah ◽  
Adel Elshair
Keyword(s):  
Sigmoid Colon ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Large Bowel Obstruction

scholarly journals Gallstone Ileus of the Sigmoid Colon: An Unusual Cause of Large-Bowel Obstruction

HPB Surgery ◽  
2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Nadir Osman ◽  
Daren Subar ◽  
Mong-Yang Loh ◽  
Andrzej Goscimski
Keyword(s):  
Sigmoid Colon ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Gallstone Ileus ◽  
Large Bowel Obstruction ◽  
Fistula Formation ◽  
Radiological Investigation ◽  
Diagnostic Aid ◽  
Contrast Enhanced ◽  
Symptoms And Signs

Gallstone ileus of the colon is an exceedingly rare cause of large-bowel obstruction. It is usually the result of fistula formation between the gallbladder and large bowel facilitating entry of the stone into gastrointestinal tract. Contrast enhanced abdominal computed tomography is an important diagnostic aid. Surgical management is the treatment of choice to prevent the disastrous complications of large-bowel obstruction. We describe the case of a 92-year-old man who presented with symptoms and signs of large-bowel obstruction. Radiological investigation showed a large gallstone impacted in the sigmoid colon. Open enterolithotomy was undertaken relieving the obstruction and the patient made a full recovery.

Incarcerated lumbar hernia in the Petit´s triangle as a cause of large bowel obstruction

2020 ◽  
Vol 99 (9) ◽  
Keyword(s):  
Case Report ◽  
Sigmoid Colon ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Clinical Manifestations ◽  
Large Bowel Obstruction ◽  
Lumbar Hernia ◽  
Urgent Surgery ◽  
Threatening Condition ◽  
Lower Lumbar

Petit’s hernia is a rare defect in the abdominal wall located in the lower lumbar triangle. The herniation in the Petiti trigonum is complicated by bowel incarceration in about 9% of cases, most often of the large bowel. We present a case report of a 73-year-old patient with clinical manifestations of large bowel obstrution. The patient was admitted and indicated for urgent surgery. Incarcerated left lumbar hernia in the Petit’s triangle with herniation of sigmoid colon that showed no signs of ischemia was found. Reposition of the sigmoid colon and hernioplasty of the lumbar hernia was performed. There were no postoperative complications and the patient was discharged on postoperative day 9. The presented case report shows that the lumbar hernia (Petit) may result in bowel obstruction and thus may cause a life-threatening condition that requires urgent surgical intervention.

Successful Endoscopic Relief of Large Bowel Obstruction in a Case of a Sigmoid Colon Gallstone Ileus

1997 ◽  
Vol 24 (4) ◽  
pp. 291-292 ◽  
Author(s):  
S. Garcia-López ◽  
J. J. Sebastián ◽  
R. Uribarrena ◽  
P. Solanilla ◽  
J. M. Artigas
Keyword(s):  
Sigmoid Colon ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Gallstone Ileus ◽  
Large Bowel Obstruction
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