A novel interventional approach to sigmoid volvulus

Abstract We report a case of a 96-year-old gentleman who presented with recurrent sigmoid volvulus and was deemed inoperable by either operative or endoscopic means due to his prohibitively high cardiac risk. The volvulus was managed with a computed tomography (CT)-guided sigmoidopexy using two gast...

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Bibliographic Details
Published in:European journal of radiology extra 2008-08, Vol.67 (2), p.e83-e86
Main Authors: Karavas, Alexandros N, Lee, David L, Mendel, Jeffrey B, Hackford, Alan W
Format: Article
Language:English
Subjects:
Computed tomography
Elderly
Interventional radiology
Radiology
Sigmoid volvulus
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Summary:Abstract We report a case of a 96-year-old gentleman who presented with recurrent sigmoid volvulus and was deemed inoperable by either operative or endoscopic means due to his prohibitively high cardiac risk. The volvulus was managed with a computed tomography (CT)-guided sigmoidopexy using two gastrostomy tubes to affix the sigmoid colon to the abdominal wall by means of T-fasteners. The procedure was tolerated well by the patient.
ISSN:1571-4675
1571-4675
DOI:10.1016/j.ejrex.2008.05.002