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A Case Report of a Rare Aetiology of a Sigmoid Volvulus Involving a Congenital Omental Defect
Yagan Pillay,Vimal Naidoo 대한외상중환자외과학회 2024 Journal of Acute Care Surgery Vol.14 No.1
Sigmoid volvulus is a rare form of large bowel obstruction and makes up < 5% of all colonic obstruction. The commonest aetiologies include a lead point involving an intra or extra luminal mass such as amalignancy or a benign stricture or colonic dysmotility especially in the geriatric population. Rareaetiologies include a mesenteric defect, or as in this case report, a congenital omental defect acting as thelead point. This makes for an increasingly unusual case report, and we believe that this is the first suchreport in English language literature. The management remains the same, irrespective of the aetiology. Endoscopic bowel decompression in the acute phase is followed by definite surgical management with orwithout a primary surgical anastomosis.