• Am J Emerg Med · Feb 2022

    Case Reports

    Sigmoid volvulus after trauma, an uncommon twist: A case report.

    • Sarah Mongold, Brannon Inman, Brit Long, Amber Cibrario, and Rachel E Bridwell.
    • Department of Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234, United States. Electronic address: sarah.m.mongold.mil@mail.mil.
    • Am J Emerg Med. 2022 Feb 1; 52: 269.e3269.e5269.e3-269.e5.

    AbstractSigmoid volvulus occurs when a portion of sigmoid colon twists around its blood supply at the base of the mesentery, causing ischemia and necrosis. In developed nations, this is most commonly a condition of elderly, bed-bound, chronically constipated individuals. However, this condition may occur after blunt abdominal trauma, especially in individuals with underlying anatomic derangements from the aforementioned conditions. We present a unique case of sigmoid volvulus in a patient with no pre-existing abdominal complaints or surgical history, who sustained blunt traumatic injuries when she was struck by a motor vehicle. Prompt recognition of this deadly condition by emergency clinicians facilitated rapid surgical correction and mitigated further morbidity and mortality.Published by Elsevier Inc.

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