Ischemic volvulus of the transverse colon: A case report and review of literature.
A 75-year old male presented to the emergency room with worsening abdominal pain and distension. Plain radiographs were suggestive of a large bowel obstruction due to volvulus. An attempt to detorse the volvulus and decompress the colon endoscopically failed, after which the patient was taken for an exploratory laparotomy. A transverse colon volvulus was found, and an extended right hemicolectomy and ileostomy was performed. We discuss the diagnosis and management of transverse colon volvulus and review the pertinent literature.
Sparks Dorothy A; Dawood Murtaza Y; Chase Daniel M; Thomas David J
Cases journal
2008
2008-09
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1186/1757-1626-1-174" target="_blank" rel="noreferrer noopener">10.1186/1757-1626-1-174</a>
Cecal volvulus in a multiple-gestation pregnancy.
*Pregnancy; Adult; Cecal Diseases – Diagnosis; Cecal Diseases – Surgery; Cecal Diseases/*diagnosis/surgery; Female; Humans; Intestinal Obstruction – Diagnosis; Intestinal Obstruction – Surgery; Intestinal Volvulus/*diagnosis/surgery; Multiple; Pregnancy; Pregnancy Complications – Diagnosis; Pregnancy Complications – Surgery; Pregnancy Complications/*diagnosis/surgery; Twins
BACKGROUND: Intestinal obstruction during pregnancy is rare, with volvulus being responsible for about 25% of cases. CASE: We present a case in which a woman in the 12th week of a twin gestation presented with abdominal pain and distension. She was initially diagnosed with an ileus, and radiological studies at the time were deferred. The patient's symptoms worsened, and eventually she was taken to surgery for a diagnostic laparoscopy, which revealed a cecal volvulus with ischemic changes. A right hemicolectomy with primary anastomosis was performed. CONCLUSION: Volvulus in pregnancy carries a high mortality rate, often because diagnosis is delayed due to avoidance of radiography and because of similarity of symptoms to other clinical entities. A high index of suspicion for volvulus must be maintained when a pregnant patient presents with obstructive symptoms. Abdominal radiographs may be justified in aiding the diagnosis, and diagnostic laparoscopy is a viable alternative when the patient has an acute abdomen.
Chase Daniel M; Sparks Dorothy A; Dawood Murtaza Y; Perry Earnest
Obstetrics and gynecology
2009
2009-08
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1097/AOG.0b013e3181989578" target="_blank" rel="noreferrer noopener">10.1097/AOG.0b013e3181989578</a>
A unique case of ovarian psammocarcinoma with mediastinal, pulmonary, subcutaneous, and omental metastases.
Cystadenocarcinoma; Female; Humans; Lung Neoplasms/*secondary; Lung/pathology; Mediastinal Neoplasms/*secondary; Mediastinum/pathology; Middle Aged; Ovarian Neoplasms/*pathology; Pelvis/pathology; Peritoneal Neoplasms/*secondary; Serous/*secondary; Soft Tissue Neoplasms/*secondary; Subcutaneous Fat/pathology
Psammocarcinoma is a rare form of serous ovarian and peritoneal carcinoma, characterized by abundant psammoma bodies, invasiveness, and low-grade cytological features. Many of the cases which have been reported had extraovarian spread and peritoneal seeding at the time of presentation. We present a case of
Chase Daniel M; Sparks Dorothy A; Gener Melissa; Smith James
Archives of gynecology and obstetrics
2009
2009-08
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1007/s00404-008-0883-1" target="_blank" rel="noreferrer noopener">10.1007/s00404-008-0883-1</a>