Amare Asratu G, Workneh Gebrehiwot A, Tassew Mequanint T, Kebede Minale M, Tegegne Mengist A, Negussie Michael A
Department of Surgery, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Maraki Street, Gondar City, Central Gondar Zone, P.O. Box 196, Gondar, Ethiopia.
School of Medicine, College of Health Sciences, Addis Ababa University, Tikur Anbessa Specialized Hospital, Churchill Avenue, Lideta Sub-City, P.O. Box 5657, Addis Ababa, Ethiopia.
J Surg Case Rep. 2025 Jan 3;2025(1):rjae827. doi: 10.1093/jscr/rjae827. eCollection 2025 Jan.
Volvulus is the rotation or twisting of the intestine around its vascular pedicle. The occurrence of descending volvulus after sigmoidectomy is extremely rare. We report a case of a 35-year-old male who presented with abdominal distention, cramping, and no passage of feces or gas for three days. He had a history of recurrent sigmoid volvulus, previously treated with sigmoidectomy. On this occasion, clinical examination and imaging revealed a distended bowel with air-fluid levels. During exploratory laparotomy, descending colon volvulus, a rare finding, was confirmed. The patient underwent a left hemicolectomy and transverse stoma and recovered well postoperatively. Descending colon volvulus is a rare but serious complication after sigmoidectomy, and early diagnosis is essential. In volvulus-endemic regions, awareness of this condition is critical to prevent delayed diagnosis and complications.
肠扭转是指肠管围绕其血管蒂发生的旋转或扭曲。乙状结肠切除术后发生降结肠扭转极为罕见。我们报告一例35岁男性患者，其出现腹胀、绞痛，且三天未排粪便或气体。他有复发性乙状结肠扭转病史，此前接受过乙状结肠切除术。此次，临床检查和影像学检查显示肠管扩张并有气液平面。在剖腹探查术中，证实为降结肠扭转，这是一个罕见的发现。患者接受了左半结肠切除术及横结肠造口术，术后恢复良好。降结肠扭转是乙状结肠切除术后一种罕见但严重的并发症，早期诊断至关重要。在肠扭转流行地区，认识到这种情况对于预防诊断延误和并发症至关重要。
