Research Article | | Peer-Reviewed

Sigmoid Volvulus; Study of 50 Observations at the Sino-Guinean Friendship Hospital

Received: 1 April 2023     Accepted: 9 June 2023     Published: 21 June 2023
Views:       Downloads:
Abstract

The aim of this study was to report our experience on the management of volvulus of the sigmoid colon in our service. Sigmoid volvulus is the twisting of the sigmoid colon around its mesocolic axis. It covered 50 files of patients operated on and hospitalized in the surgery department. Were included in our study all patients operated, hospitalized with well-filled medical records. Patients whose records showed abnormalities were not included in the study. The sex ratio of nearly 3.16 reflected a clear male predominance of the condition. The most affected age group was 35 to 44 years old, i.e. 12 cases with 24 percent. The average age was 28.61 years with extremes of 25 years and 95 years. In our series the farmers were the most affected in 22 cases. According to the history, we noted chronic constipation in 86 percent followed by high blood pressure in 11 cases. We also noted diabetes in 5 patients, tuberculosis in one patient and surgical history in 18 cases. On the clinical level, we noted the arrest of matter and gas in 48 patients, abdominal pain in 47 patients and vomiting in 38 patients. During surgery, 2 rounds were noted in 29 patients, 1 round in 17 patients and more than 2 rounds in 4 patients. The postoperative course was simple in 38 patients and complicated by parietal suppuration in 4 patients. Unfortunately we had noted 8 cases of death. The volvulus of the sigmoid colon is a formidable surgical emergency, the management is medico-surgical.

Published in Journal of Surgery (Volume 11, Issue 3)
DOI 10.11648/j.js.20231103.13
Page(s) 73-76
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Sigmoid, Volvulus, Friendship, Hospital Sino Guinean

References
[1] Atamanalp SS. A new classification, treatment algorithm and prognosis-estimating system for sigmoid volvulus. Colorectal Dis Off J Assoc Coloproctology G B Irel 2017; 19: 1033–5. https://doi.org/10.1111/codi.13898.
[2] Catalano O. Computed tomographic appearance of sigmoid volvulus. Abdom Imaging 1996; 21: 314–7. https://doi.org/10.1007/s002619900071.
[3] Atamanalp SS. Reply to “Comments on a new classification, treatment algorithm and prognosis-estimating system for sigmoid volvulus: factors affecting recurrence.” Colorectal Dis Off J Assoc Coloproctology G B Irel 2018; 20: 821–2. https://doi.org/10.1111/codi.14338.
[4] Atamanalp SS. Sigmoid Volvulus. Eurasian J Med 2010; 42: 142–7. https://doi.org/10.5152/eajm.2010.39.
[5] Destro F, Maestri L, Meroni M, Campari A, Pederiva F, Costanzo S, et al. Colonic Volvulus in Children: Surgical Management of a Challenging Condition. Children 2021; 8: 982. https://doi.org/10.3390/children8110982.
[6] Atamanalp SS, Yildirgan MI, Başoğlu M, Kantarci M, Yilmaz I. Sigmoid colon volvulus in children: review of 19 cases. Pediatr Surg Int 2004; 20: 492–5. https://doi.org/10.1007/s00383-004-1222-7.
[7] Lal SK, Morgenstern R, Vinjirayer EP, Matin A. Sigmoid volvulus an update. Gastrointest Endosc Clin N Am 2006; 16: 175–87. https://doi.org/10.1016/j.giec.2006.01.010.
[8] Prabhu SM, Venkatesan B, Shetty GS, Narula MK, Chauhan U, Udiya AK. Recurrent Sigmoid Volvulus Associated With Eventration of Diaphragm in a Twenty-Six-Year-Old Man. Iran J Radiol 2015; 12. https://doi.org/10.5812/iranjradiol.8640.
[9] Ton MN, Ruzal-Shapiro C, Stolar C, Kazlow PG. Recurrent sigmoid volvulus in a sixteen-year-old boy: case report and review of the literature. J Pediatr Surg 2004; 39: 1434–6. https://doi.org/10.1016/j.jpedsurg.2004.05.021.
[10] Traoré D, Coulibaly B, Togola B, Bengaly B, Mariko Y, Traoré I, et al. Volvulus du colon sigmoïde: traitement chirurgical et pronostic dans les services de chirurgie generale du CHU du Point G. 2013.
[11] Aachari I. Le volvulus du sigmoide (a propos de 50 cas). Thesis. 2016.
[12] Kambiré JL, Ouédraogo S, Ouédraogo BA, Ouédraogo S, Béré B, Zida M. Le volvulus du côlon sigmoïde: à propos de 55 cas pris en charge au Centre Hospitalier Universitaire de Ouahigouya, Burkina Faso. Rev Afr Chir Spéc 2021; 15: 11–6.
[13] Ouchemi C, Mignagnal K, Moussa AM, Okim AM, M MK, N NK. RESULTATS DU TRAITEMENT DU VOLVULUS DU SIGMOÏDE A N’DJAMENA, TCHAD. Eur Sci J ESJ 2015; 11.
[14] Tereta F. Volvulus du Colon Sigmoïde-Prise en charge chirurgicale dans le Service de Chirurgie «A» du CHU du Point «G». Thesis. Université des Sciences, des Techniques et des Technologies de Bamako, 2020.
[15] Abdoulaye D volvulus du colon pelvien: résultat de la colectomie en un temps versus la colectomie en deux temps. au CHU de Conakry: 87cas; thèse de médecine Conakry 2020.
Cite This Article
  • APA Style

    Camara, S. N., Diakité, S., Camara, F. L., Diakité, S. Y., Camara, M. A., et al. (2023). Sigmoid Volvulus; Study of 50 Observations at the Sino-Guinean Friendship Hospital. Journal of Surgery, 11(3), 73-76. https://doi.org/10.11648/j.js.20231103.13

    Copy | Download

    ACS Style

    Camara, S. N.; Diakité, S.; Camara, F. L.; Diakité, S. Y.; Camara, M. A., et al. Sigmoid Volvulus; Study of 50 Observations at the Sino-Guinean Friendship Hospital. J. Surg. 2023, 11(3), 73-76. doi: 10.11648/j.js.20231103.13

    Copy | Download

    AMA Style

    Camara SN, Diakité S, Camara FL, Diakité SY, Camara MA, et al. Sigmoid Volvulus; Study of 50 Observations at the Sino-Guinean Friendship Hospital. J Surg. 2023;11(3):73-76. doi: 10.11648/j.js.20231103.13

    Copy | Download

  • @article{10.11648/j.js.20231103.13,
      author = {Soriba Naby Camara and Sandaly Diakité and Fodé Lansana Camara and Saikou Yaya Diakité and Mama Aïssatou Camara and Aboubacar Touré},
      title = {Sigmoid Volvulus; Study of 50 Observations at the Sino-Guinean Friendship Hospital},
      journal = {Journal of Surgery},
      volume = {11},
      number = {3},
      pages = {73-76},
      doi = {10.11648/j.js.20231103.13},
      url = {https://doi.org/10.11648/j.js.20231103.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20231103.13},
      abstract = {The aim of this study was to report our experience on the management of volvulus of the sigmoid colon in our service. Sigmoid volvulus is the twisting of the sigmoid colon around its mesocolic axis. It covered 50 files of patients operated on and hospitalized in the surgery department. Were included in our study all patients operated, hospitalized with well-filled medical records. Patients whose records showed abnormalities were not included in the study. The sex ratio of nearly 3.16 reflected a clear male predominance of the condition. The most affected age group was 35 to 44 years old, i.e. 12 cases with 24 percent. The average age was 28.61 years with extremes of 25 years and 95 years. In our series the farmers were the most affected in 22 cases. According to the history, we noted chronic constipation in 86 percent followed by high blood pressure in 11 cases. We also noted diabetes in 5 patients, tuberculosis in one patient and surgical history in 18 cases. On the clinical level, we noted the arrest of matter and gas in 48 patients, abdominal pain in 47 patients and vomiting in 38 patients. During surgery, 2 rounds were noted in 29 patients, 1 round in 17 patients and more than 2 rounds in 4 patients. The postoperative course was simple in 38 patients and complicated by parietal suppuration in 4 patients. Unfortunately we had noted 8 cases of death. The volvulus of the sigmoid colon is a formidable surgical emergency, the management is medico-surgical.},
     year = {2023}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Sigmoid Volvulus; Study of 50 Observations at the Sino-Guinean Friendship Hospital
    AU  - Soriba Naby Camara
    AU  - Sandaly Diakité
    AU  - Fodé Lansana Camara
    AU  - Saikou Yaya Diakité
    AU  - Mama Aïssatou Camara
    AU  - Aboubacar Touré
    Y1  - 2023/06/21
    PY  - 2023
    N1  - https://doi.org/10.11648/j.js.20231103.13
    DO  - 10.11648/j.js.20231103.13
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 73
    EP  - 76
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20231103.13
    AB  - The aim of this study was to report our experience on the management of volvulus of the sigmoid colon in our service. Sigmoid volvulus is the twisting of the sigmoid colon around its mesocolic axis. It covered 50 files of patients operated on and hospitalized in the surgery department. Were included in our study all patients operated, hospitalized with well-filled medical records. Patients whose records showed abnormalities were not included in the study. The sex ratio of nearly 3.16 reflected a clear male predominance of the condition. The most affected age group was 35 to 44 years old, i.e. 12 cases with 24 percent. The average age was 28.61 years with extremes of 25 years and 95 years. In our series the farmers were the most affected in 22 cases. According to the history, we noted chronic constipation in 86 percent followed by high blood pressure in 11 cases. We also noted diabetes in 5 patients, tuberculosis in one patient and surgical history in 18 cases. On the clinical level, we noted the arrest of matter and gas in 48 patients, abdominal pain in 47 patients and vomiting in 38 patients. During surgery, 2 rounds were noted in 29 patients, 1 round in 17 patients and more than 2 rounds in 4 patients. The postoperative course was simple in 38 patients and complicated by parietal suppuration in 4 patients. Unfortunately we had noted 8 cases of death. The volvulus of the sigmoid colon is a formidable surgical emergency, the management is medico-surgical.
    VL  - 11
    IS  - 3
    ER  - 

    Copy | Download

Author Information
  • Department of Visceral Surgery, Sino-Guinean Friendship Hospital Faculty of Health Sciences and Technologies, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of General Surgery, Faculty of Health Sciences and Technologies Gamal Abdel Nasser, University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery, Donka National Hospital Faculty of Health Sciences and Technology Gamal Abdel Nasser, University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery, Donka National Hospital Faculty of Health Sciences and Technology Gamal Abdel Nasser, University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery, Sino-Guinean Friendship Hospital Faculty of Health Sciences and Technologies, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of General Surgery, Faculty of Health Sciences and Technologies Gamal Abdel Nasser, University of Conakry, Conakry, Guinea

  • Sections