Respected CUROFIANS Please give diagnosis and causative factors.

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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.

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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

Thanks madam
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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.

Very clearly explained sir. Thank you
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Large bowel obstruction

sigmoid volvulus

..add *large intestine with long mesenteric fold seen. sigmoid volvulus. .

agree with Dr giridhar

ok sir
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sigmoid volvulus?

Sigmoid volvulus, long mesentry, loaded colon are main causative factors.

Thanks sir
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nux vom 200 can help

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