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Inicio Cirugía Española (English Edition) Massive Colonic Ischemia Secondary to Sigmoid Volvulus
Información de la revista
Vol. 94. Núm. 7.
Páginas 410 (agosto - septiembre 2016)
Vol. 94. Núm. 7.
Páginas 410 (agosto - septiembre 2016)
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Massive Colonic Ischemia Secondary to Sigmoid Volvulus
Isquemia masiva de colon secundaria a vólvulo de sigma
Visitas
1893
Natalia Orozco Gila,
Autor para correspondencia
natalia-orozco-gil@htomail.com

Corresponding author.
, Úrsula Ponce Villara, María Teresa Lloret Martíb, Federico Caro Péreza
a Servicio de Cirugía General y del Aparato Digestivo, Hospital Francesc de Borja, Gandía, Valencia, Spain
b Servicio de Radiodiagnóstico, Hospital Francesc de Borja, Gandía, Valencia, Spain
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The patient is a 73-year-old woman who came to our Emergency Department in a situation of hemodynamic instability with abdominal pain during the previous 48h, fecal vomiting, abdominal distension and tympanism. Abdominal–pelvic computed tomography scan revealed a sigmoid volvulus (Fig. 1, topogram) and generalized colonic pneumatosis of the mesenteric, hypogastric and portal vessels (Fig. 2, axial projection). After stabilization, the patient underwent emergency surgery, where we observed volvulus of the left colon as well as necrosis of the sigmoid, descending and transverse colon (Fig. 3), and approximately a 15cm segment of the jejunum caused by compression of the mesentery. Due to the patient's situation of irreversible systemic sepsis, we decided not to perform intestinal resection. The patient died 8h after surgery.

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Please cite this article as: Orozco Gil N, Ponce Villar Ú, Lloret Martí MT, Caro Pérez F. Isquemia masiva de colon secundaria a vólvulo de sigma. Cir Esp. 2016;94:410.

Copyright © 2015. AEC
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