medigraphic.com

2010, Number 2

<< Back Next >>

Rev Med Inst Mex Seguro Soc 2010; 48 (2)

A right sided colon volvulus with necrosis in a young patient. A case reported

Márquez-Díaz A, Ramírez-Ortega MÁ

Language: Spanish
References: 56
Page: 209-214
PDF size: 54.82 Kb.


ABSTRACT

Background: colon volvulus (CV) is the twisting or rotation of an intestinal segment over the mesenterium, which causes occlusion and vascular compromise. It is a frequent disease in individuals over 65 years-old. We report a young patient with right CV and necrosis
Clinical case: a 17 year-old male with clinical findings of acute abdomen presented in the emergency room. During the surgical procedure, a right sided was found, CV with ileocecal valve and caecum ischemia and right colon necrosis with mesenteric vessels thrombosis. The case presented begun with sudden abdominal pain, with intestinal occlusion data, and widespread peritoneal rebound tenderles which suggested an intestinal occlusion. A simple abdomen Rx showed prominent right side colon distention with air levels in small bowel and a “coffee bean” image, suggestive of CVA hemicolectomy with termino-lateral ileocolic anastomosis was performed.
Conclusions: right-sided CV is considered as congenital in origin. They corresponded to 21 % of cases in Mexico, with an average age of presentation at 62 years. The CV represents 10 % of the causes of large bowel obstruction in Mexico. This is the first case in young people reported in Mexican literature.


REFERENCES

  1. Zinner J. Maingot: operaciones abdominales. Décima edición, vol II. México: Médica Panamericana; 1998. p. 1310-1312.

  2. Ferraina P, Oría A. Cirugía de Michans. Quinta edición. México: El Ateneo; 2001. p. 864-865.

  3. Goligher JC, Duthie HL, Nixon HH. Cirugía del ano, recto y colon. Barcelona; Salvat; 1979. p. 933-936.

  4. Sabiston DC. Tratado de patología quirúrgica. Decimotercera edición. México: Interamericana- McGraw-Hill; 1998. p. 1052-1056.

  5. Gibney EJ. Volvulus of the sigmoid colon. Surg Gynecol Obstet 1991;173:243-52.

  6. Geer DA, Arnaud G, Beitler A, Holcomb J, Homan J, James L, et al. Colonic volvulus. The army medical center experience 1983-1987. Am Surg 1991; 57:295-300.

  7. Frisancho VO. Dolicomegacolon andino y vólvolus intestinales de altura. Rev Gastroenterol Peru 2008;28:248-257.

  8. Ballantyne GH, Brandner MD, Beart Jr RW. Volvulus of the colon. Incidence and mortality. Ann Surg 1985;202:83-91.

  9. Bagarani M, Conde AS, Longo R, Italiano A, Terenzi A, Venuto G. Sigmoid volvulus in West Africa: a prospective study on surgical treatments. Dis Colon Rectum 1993;36:186-190.

  10. Montes IS, González AP, Aranda CP, Fuentes RI. Vólvulo sigmoides. Diez años de experiencia. Ciruj Gen 1995;17:292-96.

  11. Schagen Van Leeuwen JH. Sigmoid volvulus in West African population. Dis Colon Rectum 1985; 28:712-717.

  12. Ballantyne GH. Review of sigmoid volvulus history and results of treatment. Dis Colon Rectum 1982; 25:494-499.

  13. String ST. Sigmoid volvulus: an examination of the mortality. Am J Surg 1971;121:293-297.

  14. Friedman JD, Odland MD, Bubrick MP. Experience with colonic volvulus. Dis Colon Rectum 1989;32 (5):409-416.

  15. Ballantyne GH. Review of sigmoid volvulus: clinical patterns and pathogenesis. Dis Colon Rectum 1982;25:823-830.

  16. Fernández-Céspedes NA, Perroti PP, Sandrigo SA, Giroldi KM. Vólvulus de colon derecho. Rev Postgr Via Catedra Med 2005;141:18-21. 16. Rabinovici R, Simansky DA, Kaplan O, Mavor E, Manny J. Cecal volvulus. Dis Colon Rectum 1990; 33(9):765-769.

  17. Gupta S, Gupta SK. Acute caecal volvulus: report of 22 cases and review of literature. Ital J Gastroenterol 1993;25(7):380-384.

  18. Samir S, Shah MD, Jefrey P Louis MD, Joel A. Fein MD. Cecal volvulus in childhood. Pediatric Emerg Care 2002;18(4):300-302.

  19. Schumpelick V, Dreuw B, Ophoff K, Prescher A. Appendix and cecum. Embryology, anatomy, and surgical applications. Surg Clin N Am 2000;80(1): 295-317.

  20. Machiels F, De Maeseneer M, Coen H, Desprechins B, Osteaux M. Pediatric cecal malfixation. JBR-BTR 1999;82(3):116.

  21. Tejler G, Jibron H. Volvulus of the cecum. Report of 26 cases and review on the literature. Dis Colon Rectum 1988;31:445-449.

  22. Lord AS, Boswell WC, Hungerpiller JC. Sigmoid volvulus in pregnancy. Am Surg 1996;62:380-382.

  23. Steward DR, Colodny AL, Daggett WC. Malrotation of the bowel in infants and children: a 15 year review. Surgery 1976;79:716-720.

  24. Ford EG, Senac Mo Jr, Srikanth MS, Weitzman JJ. Malrotation of the intestine in children. Ann Surg 1992; 215:172-178.

  25. Chi HJ, Kandil ME, Moussa H, Schwartzman A, Zenilman M. Should cecal volvulus be managed differently in HIV-positive patients? Advances in bariatric surgery: laparoscopic sleeve gastrectomy 2007. Disponible en http://www.surgicalroundson line.com/.../2007-03-03.asp

  26. Gamblin TC, Stephens RE Jr, Johnson RK, Rothwell M. Adult malrotation: a case report and review of the literature. Curr Surg 2003;60(5):517-520.

  27. Baeza-Herrera C, Escobar-Izquierdo MA, Martínez- Rivera ML, García-Cabello LM, Nájera-Garduño HM. Malrotación y vólvulo intestinal perinatal. Acta Pediatr Mex 2008;29(2):73-77.

  28. Baeza-Herrera C, González-Galicia JA, Baeza-Herrera MS, Osorio-Clemente IO. Vólvulo gástrico en niños. Bol Med Hosp Infant Mex 1995;52(9):534-538.

  29. Domínguez-Pérez ST, Baeza-Herrera C, Jaimes G, Mendoza-López L, Montero-Uscanga CA, Suárez- Estrada C, et al. Vólvulus y duplicación yeyunal. Una asociación rara. Acta Pediatr Mex 2007; 28(6):285-8.

  30. Frizelle FA, Wolff BG. Colonic volvulus. Adv Surg 1996;29:131-139.

  31. Madiba TE, Thomson SR. The management of cecal volvulus. Dis Colon Rectum 2002;45(2):264-267.

  32. Viney R, Fordan SV, Fisher WE. Cecal volvulus alter colonoscopy. Am J Gastroenterol 2002; 97(12): 3211-3212.

  33. Montes H, Wolf J. Cecal volvulus in pregnancy. Am J Gastroenterol 1999;94:2554-2555.

  34. Iwamoto I, Miwa K, Fujino T, Douchi T. Perforated colon vólvulus coiling around the uterus in a pregnant woman with a history of severe constipation. J Obstet Gyneacol Res 2007;33(5):731-733.

  35. Khoo EY, Risley J, Zaitoun AM, El-Sheikh M, Paisey RB, Acheson AG, Mansell P. Alström syndrome and cecal volvulus in 2 siblings. Am J Med Sci 2009;337(5):383-385.

  36. Heidenreich A. Vólvulos del intestino grueso. Patología aguda ano-recto-colónica. Cir Panam 1973:66.

  37. Consorti ET, Liu TH. Review Diagnosis and treatment of caecal volvulus. Postgrad Med J 2005;81: 772-776

  38. D Kulkarni, D Magee, D Mccrory. Caecal volvulus. Int J Clin Pract 2009;63(4):672-675.

  39. Shwantz SI, Shires GT, Spencer FC. Principles of surgery. Sixth edition. New York: McGraw Hill; 1994 p. 2002-2003.

  40. Corman ML. Colon and rectal surgery. Third edition. Philadelphia: Lippincott; 1993. p. 888-895.

  41. Rogers RL, Harford FJ. Mobile cecum syndrome. Dis Colon Rectum 1984;27:399-402.

  42. Printen KJ. Mobile cecal syndrome in the adult. Am Surg 1976;42:204-205.

  43. Wong K, Torrey E. Caecal volvulus. A review of 929 cases. Cardiothor Surg Aust N Z J Surg 2003; 73(Supl 1):A22.

  44. Hiltunen KM, Syrjä H, Matikainen M. Colonic volvulus. Diagnosis and results of treatment in 82 patients. Eur J Surg 1992:158;607-611.

  45. Moore CJ, Corl FM, Fishman EK. CT of cecal volvulus: unraveling the image. AJR Am J Roent-genol 2001;177(1):95-98

  46. Thever C, Cheadle WG. Volvulus of the colon. AM Surg 1991:57;145-150.

  47. Renzulli P, Maurer CA, Netzer P, Büchler MW. Preoperative colonoscopic derotation is beneficial in acute colonic volvulus. Dig Surg 2002;19: 223-229.

  48. Anderson MJ, Okike N, Spencer RJ. The colonoscope in cecal volvulus: report of three cases. Dis Colon Rectum 1978;21:71-74.

  49. Noriega-Maldonado O, Andrade-Bautista JG. Vólvulo de sigmoides en un paciente joven. Rev Gastroenterol Mex 2005;70(2):203.

  50. Remes-Troche JM, Pérez-Martínez C, Rembis V, Takahashi T. Tratamiento quirúrgico del vólvulo colónico. Experiencia de 10 años en el Instituto Nacional de la Nutrición Salvador Zubirán. Rev Gastroenterol Mex 1997;62(4):276-280.

  51. Akgun Y. Mesosigmoplasty as a definitive operation in treatment of acute sigmoid volvulus. Dis Colon Rectum 1996;39:579-581.

  52. Gibney EJ. Volvulus of the sigmoid colon. Surg Gynecol Obst 1991;173:243-252.

  53. Sabiston DC. Tratado de patología quirúrgica. México: Decimotercera edición. Interamericana McGraw-Hill; 1998. p. 1052-1056.

  54. Baker RJ, Fischer JE. El dominio de la cirugía. Cuarta edición, vol. II. México: Médica Panamericana; 2004. p. 1985-2003.

  55. Von Flüe M, Herzog U, Ackermann C, Tondelli P, Harder F. Acute and chronic presentation of intestinal nonrotation in adults. Dis Colon Rectum 1994;37:192-198.

  56. Guller U, Zuber M, Harder F. Cecum volvulus-a frequently misdiagnosed disease picture. Results of a retrospective study of 26 patients and review of the literature. Swiss Surg 2001;7(4):158-164.




2020     |     www.medigraphic.com