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Volvulus occurs most frequently in middle-aged and elderly men. [11] Volvulus can also arise as a rare complication in persons with redundant colon, a normal anatomic variation resulting in extra colonic loops. [12] Sigmoid volvulus is the most-common form of volvulus of the gastrointestinal tract.
Diverticulosis in the sigmoid colon of a 70-year-old. Some people with diverticulosis complain of symptoms such as cramping, bloating, flatulence, and irregular defecation. However, it is unclear if these symptoms are attributable to the underlying diverticulosis or to coexistent irritable bowel syndrom
Sigmoid colon volvulus, also known as sigmoid volvulus, is volvulus affecting the sigmoid colon. It is a common cause of bowel obstruction [ 1 ] and constipation . It is common in Asia, India (7% of intestinal obstruction ) and especially South India because of the high fibre diet.
Additional causes of colitis should be evaluated, including infectious and medication-induced, particularly NSAID-associated. [1] Laboratory results are usually normal in individuals with SCAD. The white blood cell count may be mildly elevated. Fecal calprotectin, a marker of colon inflammation, may be elevated in individuals with SCAD. [8]
The cause is currently unknown. It is thought to be multi-factorial, including colonic ischemia secondary to old age and other cardiovascular risk factors, diverticulosis causing mucosal prolapse, fecal stasis and subsequent microbiome disturbance, eventually leading to inflammation of the colon segment. [7]
Section of the large bowel (sigmoid colon) showing multiple pouches (diverticula). The diverticula appear on either side of the longitudinal muscle bundle (taenium), which runs horizontally across the specimen in an arc. Specialty: General surgery: Symptoms: Abdominal pain, fever, nausea, diarrhea, constipation, blood in the stool [1] Complications
Researchers demonstrated that patients who had positive results with biofeedback had evidence of improved autonomic innervation of the colon, increased colonic transit time, and had increased quality of life scores. [16] Overall, biofeedback is reported to have about 70% success rate for pelvic floor dyssynergia (dyssynergic defecation). [33]
Sigmoidocele (also known as pouch of Douglas descent) is a medical condition in which a herniation of peritoneum containing loops of redundant sigmoid colon descends (prolapses) into the rectouterine pouch (in females), between the rectum and the vagina. [1] [2] This can obstruct the rectum and cause obstructed defecation syndrome. [3]
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