Prise en charge des volvulus du côlon pelvien en milieu rural : à propos de 42 cas colligés au Centre Hospitalier Régional de Ziguinchor (Sénégal)

  • O. Sow
  • C. Diouf
  • A. Ndong
  • I. Diallo
  • A. Traore
  • A.O. Toure
  • I. Konate
  • M. Dieng
Keywords: Sigmoid colon volvulus, colectomy, emergency, rural area

Abstract

The purpose of this work was to assess the results of the management in rural area of pelvic colon volvulus.We conducted a retrospective study at
Ziguinchor Regional Hospital over a period of 4 years from January 2015 to december 2018. The study population was consisted of 36 men and 6
women with a mean age of 47 years. Six patients had a history of chronic constipation. The bowel obstruction syndrome was complete in 54.76%.
Plain abdominal x-ray was performed in 90% of cases and CT-scan in 2 patients. Two patients had an elective colectomy after a blind Faucher probe
untwisting, and 39 patients had a midline laparotomy. The intestinal loop was viable in 60% of cases and necrotic in 40% of cases. A segmental
resection associated with a colostomy according to Bouilly-Volkmann was the most performed procedure (47.6%) and the ideal colectomy in 38%
of cases. Four patients had surgery according to Hartmann’s procedure. The meantime before colostomy take down was 29 days [20-90 days]. Surgical follow-up was unevent ful in 83% of cases (n=35). Post-operative mortality was 4.7% (n=2) secondary to sepsis and hypovolemic shock. The
Pelvic colon volvulus is a surgical emergency frequent in Africa, especially in young male adult. Even if, the bowel obstruction syndrome and plain abdominal x-ray are the elements of the positive diagnosis, abdominal CT-scan is important to assess the severity. Elective sigmoidectomy is the traitment of choice.

Keywords: Sigmoid colon volvulus, colectomy, emergency, rural area.

Published
2021-01-26
Section
Articles

Journal Identifiers


eISSN: 1997-3756
print ISSN: 1997-3756