J Acute Care Surg.  2024 Mar;14(1):27-29. 10.17479/jacs.2024.14.1.27.

A Case Report of a Rare Aetiology of a Sigmoid Volvulus Involving a Congenital Omental Defect

• Pillay Y
• Naidoo V

• KMID: 2553583
• DOI: http://doi.org/10.17479/jacs.2024.14.1.27

Abstract

Sigmoid volvulus is a rare form of large bowel obstruction and makes up < 5% of all colonic obstruction. The commonest aetiologies include a lead point involving an intra or extra luminal mass such as a malignancy or a benign stricture or colonic dysmotility especially in the geriatric population. Rare aetiologies include a mesenteric defect, or as in this case report, a congenital omental defect acting as the lead point. This makes for an increasingly unusual case report, and we believe that this is the first such report in English language literature. The management remains the same, irrespective of the aetiology. Endoscopic bowel decompression in the acute phase is followed by definite surgical management with or without a primary surgical anastomosis.

Keyword

colostomy, congenital, sigmoid, volvulus