Sigmoidopexy And Tube Sigmoidostomy In Sigmoid Volvulus: A Case Report

Abstract

Background: Sigmoid volvulus is a surgical condition with high recurrence and mortality rates following non operative decompression of the colon. It is for this reason that definitive surgery is required for effective treatment.
The aim of this report is to present the outcome following sigmoidopexy and tube sigmoidostomy in a patient with sigmoid volvulus.
Method: The case records of a 46 year old man who presented with abdominal pain, absolute constipation, abdominal distension and bilous vomiting as well as literature of the subject using available journals and books in addition to online search through goggle and Medline were utilized.
Results: Examination showed abdominal distension with generalized and absent bowel sounds. Plain abdominal xray (erect and supine), showed evidence of sigmoid volvulus. Sigmoidopexy and tube sigmoidostomy (using foley catheter) were subsequently done. Surgery and post operative recovery were uneventful. Sigmoidostomy became functional on the first post operative day with a th reduction in the volume of the discharge by the 4 post th operative day. Catheter was removed by the 10 day and the
th patient discharged on the 11 day after surgery. He has been followed up for 6 months now on outpatient basis and remains in a good state of health without any symptoms.
Conclusion: Sigmoidopexy and tube sigmoidostomy should be considered as an effective option for the surgical treatment of patients who present with sigmoid volvulus without gangrene.

Key words: Sigmoid volvulus; sigmoidopexy; tube sigmoidostomy; Nigeria