Mohiuddin Aabid, Hussain Fawaz, Denha Eric, Schad Christine, Antaki Fadi, Rifkin Samara
Department of Internal Medicine, Detroit Medical Center/Wayne State University, Detroit, USA.
Department of Gastroenterology, Detroit Medical Center/Wayne State University, Detroit, USA.
Cureus. 2025 Apr 19;17(4):e82570. doi: 10.7759/cureus.82570. eCollection 2025 Apr.
Sigmoid volvulus is the mechanical torsion of the sigmoid colon, its mesentery, and blood supply around itself, resulting in luminal obstruction and colonic ischemia. Initial management typically involves endoscopic detorsion; however, patients with peritonitis or who fail endoscopic therapy warrant surgical intervention. This case illustrates the rare presentation of recurrent sigmoid volvulus, which was refractory to endoscopic detorsion due to complications of peritoneal metastases, which tethered the sigmoid into a torsed position, ultimately requiring surgical resection. This report emphasizes the need for tailored, collaborative approaches to managing sigmoid volvulus in patients with underlying malignancy.
乙状结肠扭转是乙状结肠及其系膜和血供围绕自身发生的机械性扭转，导致管腔梗阻和结肠缺血。初始治疗通常包括内镜下扭转复位；然而，患有腹膜炎或内镜治疗失败的患者需要手术干预。本病例说明了复发性乙状结肠扭转的罕见表现，由于腹膜转移瘤的并发症，内镜扭转复位治疗无效，这些转移瘤将乙状结肠固定在扭转位置，最终需要手术切除。本报告强调了对患有潜在恶性肿瘤的患者管理乙状结肠扭转时采用量身定制的协作方法的必要性。
