| 응급대장내시경술과 대장절제술로 치료한 S상결장 염전 1예 |
| 조미라·문정윤·박근모·김석훈·이정남·이춘관·정재훈·김형욱·박승근·박희욱 |
| 메리놀병원 내과 |
| A Case of Sigmoid Volvulus Treated by Emergency Endoscopic Reduction and Surgical Colonic Resection |
| Mi Ra Cho, M.D., Jung Youn Moon, M.D., Keun Mo Park, M.D., Suk Hun Kim, M.D., Jung Nam Lee, M.D., Chun Kwan Lee, M.D., Jae Hoon Jeong, M.D., Hyung Wook Kim, M.D., Seung Keun Park, M.D. and Hee Ug Park, M.D. |
| Department of Internal Medicine, Maryknoll Hospital, Busan, Korea |
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| Abstract |
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An intestinal obstruction is a common cause of acute abdominal diseases which need emergency measures. Sigmoid volvulus is one of rare causes of colonic obstruction and occupies 2∼3% of its causes in Korea. Volvulus requires a prompt diagnosis and decompression in order to prevent its progression to strangulation and gangrene. Although 90% of sigmoid volvulus can be diagnosed just by plain abdominal x-ray, computed tomography or barium enema can be done for more accurate diagnoses. For the successful treatment, accurate early examination, endoscopic reduction and surgical colonic resection are required. Endoscopic reduction has low mortality but is liable to recur, whereas emergency colonic resection has little recurrence rate but a high mortality. We experienced a case of a sigmoid volvulus in a 55-year-old male who companied of sudden abdominal pain. After diagnosed as sigmoid volvulus through plain abdominal x-ray and abdominal computed tomography, endoscopic reduction was done in the early period of development, and the sigmoid resection was performed after 7 days. We report our experience with a review of the literature regarding the diagnosis and treatment of sigmoid volvulus. (Korean J Gastrointest Endosc 2006; 32:347351) |
| Key Words:
Sigmoid volvulus, Endoscopic reduction, Resection |
| 주요어:
S상결장 염전, 내시경적 복원, 절제술 |
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