• Nurhak Aksungur, Rifat Peksoz, Esra Disci, and Sabri Selcuk Atamanalp.
• Nurhak Aksungur, MD Assistant Professor, Department of General Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
• Pak J Med Sci. 2023 Nov 1; 39 (6): 161616191616-1619.

ObjectivesSpontaneous decompression is an uncommon outcome of sigmoid volvulus (SV). The aim of this study was to evaluate the clinical presentation, diagnosis, treatment, and follow-up of spontaneously decompressed SV.MethodsWe utilized the data of our 1,063 SV patients, the most comprehensive monocenter SV series in the world. To obtain the worldwide data on the spontaneous decompression of SV, we researched the last 56-years' literature in Web of Science and PubMed databases.ResultsThe incidence of the spontaneous decompression was 0.1% (1/1,063) in our SV series, whereas it was 1.5% (8/549) in the worldwide data (Fisher exact test, p = 0.001). By this way, cumulative spontaneous decompression rate was found as 0.6% (9/1,602). In the spontaneously decompressed cases, the main clinical features were abdominal pain/tenderness, distention, and obstipation, which were similar to management-required patients. However, the treatment and follow-up algorithm is still a relatively undefined subject.ConclusionSpontaneous decompression of SV is a very rare clinical entity. The clinical presentation and diagnosis of the spontaneously decompressed SV look alike the management-required SV. However, as seen in most management-required patients, SV tends to recur in the spontaneously decompressed cases and a recurrence-reducing procedure is required in selected patients.Copyright: © Pakistan Journal of Medical Sciences.

3 keywords...

hide…