Treatment of Sigmoid Volvulus in Ileosigmoid Volvulus

Clinical Scenario

This protocol applies to sigmoid volvulus occurring in the context of ileosigmoid volvulus — a rare combined obstruction in which both the ileum and the sigmoid colon are simultaneously involved in the volvulus.

Specific Situation

Ileosigmoid volvulus is rare and the concurrent twisting of two bowel segments defines a distinct surgical emergency. Most cases require surgical decompression rather than non-operative measures.

Management Approach (partial)

The approach begins with correction of fluid and electrolyte imbalances before proceeding to operative intervention. The surgical strategy is tailored to intraoperative findings — the full protocol details the specific operative decision points.

Instant Access to Structured Evidence-Based Regimens

References

Ileosigmoid volvulus is rare and most require surgical decompression.
The therapeutic management requires fluid and electrolyte resuscitation followed by surgery: double resection with or without restoration of continuity depending on the operating findings.

DOI: 10.1186/s13017-023-00502-x

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