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American Journal of Medical Case Reports. 2017, 5(1), 22-24
DOI: 10.12691/AJMCR-5-1-6
Case Report

Chronic Intestinal Idiopathic Pseudo-obstruction (CIIPO) Complicated by Sigmoid Volvulus

Christos Konstantinidis1,

1Surgical Department, Hippocratio General Hospital of Athens, 114 Vasilissis Sofias str, Athens, Region of Attica, Greece

Pub. Date: February 14, 2017

Cite this paper

Christos Konstantinidis. Chronic Intestinal Idiopathic Pseudo-obstruction (CIIPO) Complicated by Sigmoid Volvulus. American Journal of Medical Case Reports. 2017; 5(1):22-24. doi: 10.12691/AJMCR-5-1-6

Abstract

A 17-year-old male patient with chronic intestinal idiopathic pseudo-obstruction was admitted to the emergency department clinically deteriorated due to sigmoid volvulus. Initial resuscitative efforts followed by endoscopy failed to detorse and decompress the bowel. At the followed emergency laparotomy the volvulus was derotated and a Hartmann’s procedure with left hemicolectomy was performed. The patient after 3 months underwent stoma closure. At one-year follow-up the patient showed clinical improvement.

Keywords

constipation, megacolon, pseudo obstruction, sigmoid volvulus

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  de Betue CT, Boersma D, Oomen MW, de Jong JR. Volvulus as a complication of chronic intestinal pseudo-obstruction syndrome. Eur J Pediatr (2011) 170: 1591-1595.
 
[2]  Antonucci A, Fronzoni L, Cogliandro L, et al. Chronic intestinal pseudo-obstruction. World J Gastroenterol 2008 May 21; 14(19): 2953-2961.
 
[3]  Stanghellini V, Cogliandro RF, de Giorgio R, et al. Chronic intestinal pseudo-obstruction: manifestations, natural history and management. Neurogastroenterol Motil (2007) 19, 440-452.
 
[4]  Patel RV, Njere I, Campbell A, et al. Sigmoid volvulus in an adolescent girl: staged management with emergency colonoscopic reduction and decompression followed by elective sigmoid colectomy. BMJ Case Rep 2014.
 
[5]  Lou Z, Yu EA, Zhang W, et al. Appropriate treatment of acute sigmoid volvulus in the emergency setting. World J Gastroenterol 2013 August 14; 19(30): 4979-4983.
 
[6]  Kathrine A, Ifversen W, Kjaer DW. More patients should undergo surgery after sigmoid volvulus. World J Gastroenterol 2014 December 28; 20(48): 18384-18389.
 
[7]  Szylberg T, Marszałek A. Diagnosis of Hirschsprung’s disease with particular emphasis on histopathology. A systematic review of current literature. Prz Gastroenterol 2014; 9 (5): 264-269.
 
[8]  de Giorgio R, Sarnelli G, Corinaldesi R, Stanghellini V. Advances in our understanding of the pathology of chronic intestinal pseudo-obstruction. Gut 2004; 53: 1549-1552.
 
[9]  Gladman MA, Scott SM, Lunniss PJ, Williams NS. Systematic review of surgical options for idiopathic megarectum and megacolon. Ann Surg 2005; 241: 562-574.
 
[10]  Kabeer S, Dvorkin L, Carrannante J, Linehan I. A life-threatening complication of undiagnosed congenital idiopathic megacolon. BMJ Case Reports 2010.