Sigmoid Volvulus done at Hira Mongi Navneet Hospital.

Sigmoid Volvulus By Dr. Prasad Bhukebag Consultant Surgeon SPF’s – HMN Hospital A 26 yr. old male presented to the ER @ Hira Mongi Navneet Hospital with complaints of severe abdominal distension, nausea, failure to pass faces/flatus since 4 days.He had developed breathlessness at rest since 1 day. Patient had no co-morbidities and never had similar complaints in the past. On examination PR was 110/min, BP- 110/70, O2 Saturation – 98%. Abdominal examination revealed hugely distended tense abdomen. Mild tenderness, no rigidity and absent bowel sounds. Per rectal examination did not reveal any mass or fecal impaction. After stabilising the patient with IV fluids and pain killers, erect X ray abdomen was done which revealed hugely distended colon. Suspicion of Sigmoid Volvulus was kept in mind and CECT- Abdomen/Pelvis performed which confirmed the diagnosis.

Patient was immediately taken up for Exploratory Laparotomy. *Surgery was performed by Dr Prasad Bhukebag and assisted by Dr Nayana Dedhia. Sigmoid Volvulus was identified. Sigmoid Colon derogated, flatus tube passed through anal verge and colon decompressed. In view of very long segment of redundant colon and higher chances of recurrence later, sigmoid colon was resected and primary anastomosis performed in 2 layers. Drain placed in the pelvis. Patient is doing well postoperatively and is on normal diet. The reason for presenting this case is the relative rarity of the condition especially in young males.