Management of a Volvulus of the Sigmoid Colon at the Somine Dolo Hospital in Mopti About a Case

Le résumé fourni par la source

We report a case of spontaneous devolvulation of the sigmoid colon in a patient following a delay in preparation for medical and surgical management.The aim of this work was to bear witness to the precariousness of health coverage in certain areas of our country that have suffered from military and community crises (Djénné, Bandigara, Koro, etc....).This was a clinical observation where the signs were dominated by a passage of faecal matter and flatus, vomiting, abdominal pain and air fluid levels.Erect X-ray abdomen helped in confirmed the diagnostis The patient during his preparation had made a spontaneous devolvulation followed by a complete remission of the clinical symptoms.He returned 3 monts later with the same symptomatology following which the emergency medical-surgical treatment was based on resuscitation measures and laparotomy with resection of the sigmoid colon followed by colorectal anastomosis, termino-terminal.

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