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Gastrointestinal
Diagnosis
Colon
Degenerative
Sigmoid Volvulus
Sigmoid Volvulus
Michael P. Federle, MD, FACR
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KEY FACTS
Terminology
Imaging
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Definitions
Torsion or twisting of sigmoid colon around its mesenteric axis
IMAGING
General Features
Radiographic Findings
Fluoroscopic Findings
CT Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Maddah G et al: Management of sigmoid volvulus: options and prognosis. J Coll Physicians Surg Pak. 24(1):13-7, 2014
Selçuk Atamanalp S: Treatment for ileosigmoid knotting: a single-center experience of 74 patients. Tech Coloproctol. 18(3):233-7, 2014
Meyer F et al: Unusual "twister"-like appearance of a sigmoid volvulus on computed tomography. Endoscopy. 39 Suppl 1:E295, 2007
Tiah L et al: Sigmoid volvulus: diagnostic twists and turns. Eur J Emerg Med. 13(2):84-7, 2006
Agaoglu N et al: Surgical treatment of the sigmoid volvulus. Acta Chir Belg. 105(4):365-8, 2005
Chandrasekaran TV et al: Minimally invasive stapled surgical approach to the management of sigmoid volvulus. Ann R Coll Surg Engl. 87(5):381-2, 2005
Matsumoto S et al: Computed tomographic imaging of abdominal volvulus: pictorial essay. Can Assoc Radiol J. 55(5):297-303, 2004
Chiu HH et al: Recurrent sigmoid volvulus. Gastrointest Endosc. 56(3):419-20, 2002
Kuzu MA et al: Emergent resection for acute sigmoid volvulus: results of 106 consecutive cases. Dis Colon Rectum. 45(8):1085-90, 2002
Chirdan LB et al: Sigmoid volvulus and ileosigmoid knotting in children. Pediatr Surg Int. 17(8):636-7, 2001
Moore CJ et al: CT of cecal volvulus: unraveling the image. AJR Am J Roentgenol. 177(1):95-8, 2001
Daniels IR et al: Recurrent sigmoid volvulus treated by percutaneous endoscopic colostomy. Br J Surg. 87(10):1419, 2000
Dulger M et al: Management of sigmoid colon volvulus. Hepatogastroenterology. 47(35):1280-3, 2000
Lee SH et al: The ileosigmoid knot: CT findings. AJR Am J Roentgenol. 174(3):685-7, 2000
Madiba TE et al: The management of sigmoid volvulus. J R Coll Surg Edinb. 45(2):74-80, 2000
Chung YF et al: Minimizing recurrence after sigmoid volvulus. Br J Surg. 86(2):231-3, 1999
Javors BR et al: The northern exposure sign: a newly described finding in sigmoid volvulus. AJR Am J Roentgenol. 173(3):571-4, 1999
Choi D et al: Endoscopic sigmoidopexy: a safer way to treat sigmoid volvulus? J R Coll Surg Edinb. 43(1):64, 1998
Catalano O: Computed tomographic appearance of sigmoid volvulus. Abdom Imaging. 21(4):314-7, 1996
Frizelle FA et al: Colonic volvulus. Adv Surg. 29:131-9, 1996
Forde KA: Therapeutic colonoscopy. World J Surg. 16(6):1048-53, 1992
Gibney EJ: Volvulus of the sigmoid colon. Surg Gynecol Obstet. 173(3):243-55, 1991
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Definitions
Torsion or twisting of sigmoid colon around its mesenteric axis
IMAGING
General Features
Radiographic Findings
Fluoroscopic Findings
CT Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Maddah G et al: Management of sigmoid volvulus: options and prognosis. J Coll Physicians Surg Pak. 24(1):13-7, 2014
Selçuk Atamanalp S: Treatment for ileosigmoid knotting: a single-center experience of 74 patients. Tech Coloproctol. 18(3):233-7, 2014
Meyer F et al: Unusual "twister"-like appearance of a sigmoid volvulus on computed tomography. Endoscopy. 39 Suppl 1:E295, 2007
Tiah L et al: Sigmoid volvulus: diagnostic twists and turns. Eur J Emerg Med. 13(2):84-7, 2006
Agaoglu N et al: Surgical treatment of the sigmoid volvulus. Acta Chir Belg. 105(4):365-8, 2005
Chandrasekaran TV et al: Minimally invasive stapled surgical approach to the management of sigmoid volvulus. Ann R Coll Surg Engl. 87(5):381-2, 2005
Matsumoto S et al: Computed tomographic imaging of abdominal volvulus: pictorial essay. Can Assoc Radiol J. 55(5):297-303, 2004
Chiu HH et al: Recurrent sigmoid volvulus. Gastrointest Endosc. 56(3):419-20, 2002
Kuzu MA et al: Emergent resection for acute sigmoid volvulus: results of 106 consecutive cases. Dis Colon Rectum. 45(8):1085-90, 2002
Chirdan LB et al: Sigmoid volvulus and ileosigmoid knotting in children. Pediatr Surg Int. 17(8):636-7, 2001
Moore CJ et al: CT of cecal volvulus: unraveling the image. AJR Am J Roentgenol. 177(1):95-8, 2001
Daniels IR et al: Recurrent sigmoid volvulus treated by percutaneous endoscopic colostomy. Br J Surg. 87(10):1419, 2000
Dulger M et al: Management of sigmoid colon volvulus. Hepatogastroenterology. 47(35):1280-3, 2000
Lee SH et al: The ileosigmoid knot: CT findings. AJR Am J Roentgenol. 174(3):685-7, 2000
Madiba TE et al: The management of sigmoid volvulus. J R Coll Surg Edinb. 45(2):74-80, 2000
Chung YF et al: Minimizing recurrence after sigmoid volvulus. Br J Surg. 86(2):231-3, 1999
Javors BR et al: The northern exposure sign: a newly described finding in sigmoid volvulus. AJR Am J Roentgenol. 173(3):571-4, 1999
Choi D et al: Endoscopic sigmoidopexy: a safer way to treat sigmoid volvulus? J R Coll Surg Edinb. 43(1):64, 1998
Catalano O: Computed tomographic appearance of sigmoid volvulus. Abdom Imaging. 21(4):314-7, 1996
Frizelle FA et al: Colonic volvulus. Adv Surg. 29:131-9, 1996
Forde KA: Therapeutic colonoscopy. World J Surg. 16(6):1048-53, 1992
Gibney EJ: Volvulus of the sigmoid colon. Surg Gynecol Obstet. 173(3):243-55, 1991
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