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