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


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

INDIAN JOURNAL OF SURGERY, 2020 (SCI İndekslerine Giren Dergi) identifier identifier

Özet

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.