caa a22 4500 475752848 CHVBK 20180406123529.0 cr unu---uuuuu 170329e20001201xx s 000 0 eng 10.1007/s005950070012 doi (NATIONALLICENCE)springer-10.1007/s005950070012 Surgical Treatment of a Sigmoid Volvulus Associated with Megacolon: Report of a Case [Elektronische Daten] [Manabu Kudaka, Hiroshi Kudaka, Takeshi Tomiyama, Mitsuo Yogi, Yukio Inafuku, Kouji Kawano, Kazuya Yamashiro, Kensei Ooshiro, Tsuyoshi Teruya, Katsumi Taira, Takao Higa, Hiroki Sunagawa] Sigmoid volvulus occurring concomitantly with megacolon is an uncommon cause of bowel obstruction, and various approaches to treatment have been proposed. We report herein a case of sigmoid volvulus with megacolon that was successfully treated by elective surgery following endoscopic reduction during the same hospital stay. A 70-year-old woman was admitted to our hospital with abdominal pain, distension, and severe constipation. Physical examination, plain abdominal X-ray, and barium enema confirmed a sigmoid volvulus and further examinations revealed concomitant megacolon. An elective sigmoid colectomy was performed following successful endoscopic decompression. The postoperative course was uneventful and there was no residual colonic dysmotility. Histologically, no aganglionic tissue was observed in the resected specimen. Springer-Verlag, 2000 Key words Sigmoid volvulus nationallicence Megacolon nationallicence Endoscopic decompression nationallicence Kudaka Manabu Department of Surgery, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan, JP aut Kudaka Hiroshi Department of Surgery, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan, JP aut Tomiyama Takeshi Department of Surgery, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan, JP aut Yogi Mitsuo Department of Surgery, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan, JP aut Inafuku Yukio Department of Surgery, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan, JP aut Kawano Kouji Department of Surgery, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan, JP aut Yamashiro Kazuya Department of Surgery, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan, JP aut Ooshiro Kensei Department of Surgery, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan, JP aut Teruya Tsuyoshi Department of Surgery, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan, JP aut Taira Katsumi Department of Surgery, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan, JP aut Higa Takao Department of Surgery, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan, JP aut Sunagawa Hiroki Department of Surgery, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan, JP aut https://doi.org/10.1007/s005950070012 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950070012 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kudaka Manabu Department of Surgery, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan, JP aut NATIONALLICENCE 700 1- Kudaka Hiroshi Department of Surgery, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan, JP aut NATIONALLICENCE 700 1- Tomiyama Takeshi Department of Surgery, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan, JP aut NATIONALLICENCE 700 1- Yogi Mitsuo Department of Surgery, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan, JP aut NATIONALLICENCE 700 1- Inafuku Yukio Department of Surgery, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan, JP aut NATIONALLICENCE 700 1- Kawano Kouji Department of Surgery, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan, JP aut NATIONALLICENCE 700 1- Yamashiro Kazuya Department of Surgery, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan, JP aut NATIONALLICENCE 700 1- Ooshiro Kensei Department of Surgery, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan, JP aut NATIONALLICENCE 700 1- Teruya Tsuyoshi Department of Surgery, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan, JP aut NATIONALLICENCE 700 1- Taira Katsumi Department of Surgery, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan, JP aut NATIONALLICENCE 700 1- Higa Takao Department of Surgery, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan, JP aut NATIONALLICENCE 700 1- Sunagawa Hiroki Department of Surgery, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan, JP aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer