Respected CUROFIANS Please give diagnosis and causative factors.
Sigmoid volvulus This occurs in cases of long-standing chronic constipation where patients develop a large, elongated, relatively atonic colon, particularly in the sigmoid segment. It is often referred to as acquired or idiopathic megacolon. In sigmoid volvulus, a large sigmoid loop full of faeces and distended with gas twists on its mesenteric pedicle to create a closed-loop obstruction.
Sir ,this is a case of megacolon which is abnormal dilatation of colon associated with paralysis of peristaltic movements of bowel. Megacolon is 3 types 1Acute megacolon- pseudo obstruction 2Chronic megacolon- congenital, acquired, idiopathic causes 3Toxic mega colon Causesof chronic megacolon are 1 Neurological Chagas disease parkinsons disease Myotonic dystrophy Diabetic neuropathy Amyloidosis 2 Systemic cause SLE Scleroderma Dermatomyositis 3 Metabolic causes Hypothyroidism Hypokalemia Pheochromocytoma Porphyria 4 Medication induced Idiopathic cause 1Hirschsprungs disease 2 MEN type2 3 Waardenburg shaw syndrome Toxic megacolon causes are IBD like Ulcerative colitis Crohns disease Thanks for sharing the wonderful post, sir
sir, this is Sigmoid Volvulus. Sigmoid volvulus occur because of sigmoid elongation, resulting in a redundant loop. Most commonly, this is the result of chronic constipation and the progressive dilatation and lengthening of the sigmoid colon and its mesentery. A higher incidence of the condition is observed in patients with Parkinson disease, multiple sclerosis, or spinal cord injury. Psychotropic drugs interfere with colonic motility . A high-fiber diet leads to overloading of the sigmoid colon, which twists around its mesentery and results in volvulus.
Large bowel obstruction
sigmoid volvulus
..add *large intestine with long mesenteric fold seen. sigmoid volvulus. .
sigmoid volvulus?
nux vom 200 can help
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5 year old boy presented with C/O Abdominal distension Pain abdomen Obstipation for 4_5 days.. No remarkable past surgical or medical history O/E . Conscious, toxic looks , afebrile, signs of dehydration + Vitals are normal P/A : Tenderness + Abdominal distension + Guarding and rigidity absent BS sluggish PR : WNL Systemic examination : NAD Xray attached. Plan for Emc. Exploratory Laparotomy.
Dr. Nyemwang W Konyak2 Likes25 Answers - Login to View the image
A 7 year female child weight 16 kg with h/o chronic constipation since 6 months of age. Child normal at birth but started having difficulty in passing stool since than. Situation is worsening over last few years that she has to take laxative twice a day to clear bowel,even than impacted stools can be easily palpated & seen as fullness in lower abdomen felt as firm to hard mass. Child is playful eating full diet even after absolutel constipation for a week. Every time glycerin enema followed by laxatives are needed to relive of hard mass leaving abdomen soft for last few years Relevant routine investigations done to know cause, reports enclosed Please comment & suggest management
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Rajesh D. Patidar8 Likes19 Answers - Login to View the image
Please observe xray and tell the dx and treatment.
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