Endoscopic Sign in Sigmoid Volvulus with Mucosal Ischemia: "Autumn Leaves"

Uylas U., KUTLUTÜRK K., SÜMER F., KAYAALP C.

INDIAN JOURNAL OF SURGERY, vol.83, no.1, pp.373-374, 2021 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 83 Issue: 1
  • Publication Date: 2021
  • Doi Number: 10.1007/s12262-020-02341-5
  • Journal Name: INDIAN JOURNAL OF SURGERY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CAB Abstracts, CINAHL, Veterinary Science Database
  • Page Numbers: pp.373-374
  • Keywords: Colon, Dolichocolon, Volvulus, Bowel obstruction, Endoscopy, Decompression
  • Inonu University Affiliated: Yes

Abstract

Colonoscopic examination is used in both diagnosis and treatment of sigmoid volvulus. If colon ischemia is detected during a colonoscopy, urgent surgery is unavoidably accepted. Here we presented an ischemic sigmoid volvulus and its resolution as seen through colonoscope after successful medical treatment. The patient was a 79-year-old male with Alzheimer's disease and cerebrovascular disease. Emergency surgery was canceled, and an elective laparoscopic sigmoid resection was done 1 month later uneventfully.