Sigmoid colon volvulus immediately after ultrasound-guided simple ovarian cyst aspiration: a case report

Al-Rshoud, Firas; Kilani, Rami; Alshara, Emad

doi:10.1016/j.mefs.2016.09.003

Cited by 2 publications

(2 citation statements)

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“…The elongated sigmoid loop will then twist around its axis 9 . Similarly, an enlarged adnexal cyst may cause an abnormally elongated sigmoid colon, thus promoting the occurrence of sigmoid volvulus 10 . In our case, the ovarian cyst was responsible for the sigmoid volvulus.…”

Section: Discussionmentioning

confidence: 99%

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Case Report: Sigmoid volvulus associated with a torsion of an ovarian cyst

et al. 2020

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Sigmoid volvulus is a life-threatening condition rarely seen in young adults. However, adnexal torsion is one of the top causes of gynecological emergencies, with prevalence increasing with the presence of an ovarian cyst. The association of sigmoid volvulus and adnexal torsion is exceptional. We report the case of a 33-year-old woman who presented to the emergency department for abdominal pain evolving for six hours, associated with gas and fecal matter obstruction. Clinical examination showed a restless patient with tachycardia and distended abdomen with severe tenderness in the left iliac fossa. A contrast-enhanced computed tomography (CT) scan of the abdomen revealed dilated large bowel loops showing bird beak-like narrowing of the sigmoid colon and whirl sign, suggestive of sigmoid volvulus with bowel wall compromise associated with left adnexal torsion secondary to a large pelvic mass. The patient underwent an emergency laparotomy. Exploration showed a torsion of the left adnexa secondary to a large cyst of the left ovary, carrying the sigmoid colon with it, which produces a volvulus of the sigmoid colon with 720° anticlockwise rotation. A sigmoid colectomy and Hartmann’s procedure associated with a left adnexectomy were performed. Although rare, the occurrence of a volvulus of the sigmoid in the young woman must be suggestive of torsion of the adnexa. Surgical management must be prompt, allowing both the ovary and the sigmoid to be saved.

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Section: Discussionmentioning

confidence: 99%

“…For nearly 60 years, there have been no observations associating adnexal torsion on an ovarian cyst with volvulus of the sigmoid colon in adults. In 2010, Al-Rshoud et al reported the case of sigmoid colon volvulus after aspiration of an ovarian cyst without any adnexal torsion 10 .…”

Section: Discussionmentioning

confidence: 99%