Gangrene
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Research from Sultan Qaboos University in the area of volvulus published
2009 AUG 3 - (NewsRx.com) -- "Volvulus of the splenic flexure is very rare cause of colonic obstruction constituting 2% of cases of colonic segmental volvulus. Primary splenic flexure volvulus (SFV) is due to congenital absence or laxity of the phrenocolic, gastro, colic, and splenocolic ligaments while secondary volvulus is due to other causes including some prior surgery releasing these ligaments," investigators in Muscat, Oman report. "A preoperative diagnosis can be established based on the characteristic radiological findings on plain x-ray abdomen and CT scan. We present a case of SFV in a young man who presented with acute abdominal pain, and distension, and illustrate the usefulness of CT scan, and plain x-ray of the abdomen in making a preoperative diagnosis. Laparotomy revealed a gangrenous SFV, which was resected and primary anastomosis was carried out," wrote N.O. Machado and colleagues, Sultan Qaboos University. The researchers concluded: "Literature is reviewed with regards to predisposing factors, presentation, investigation, and management among the more than 32 cases reported so far.." Machado and colleagues published their study in Saudi Medical Journal (Splenic flexure volvulus presenting with gangrene. Saudi Medical Journal, 2009;30(5):708-711). For additional information, contact N.O. Machado, Sultan Qaboos University Hospital, Dept. of Surgery, POB 38, Muscat, Oman. The publisher of the Saudi Medical Journal can be contacted at: Saudi Med J, Armed Forces Hospital, PO Box 7897, Riyadh 11159, Saudi Arabia. Keywords: Oman, Muscat, Colic, Gangrene, Gastroenterology, Surgery, Volvulus, Sultan Qaboos University. This article was prepared by Gastroenterology Week editors from staff and other reports. Copyright 2009, Gastroenterology Week via NewsRx.com.
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