[Skip to Content]
[Skip to Content Landing]
Article
August 1940

GANGRENE OF THE SIGMOID FLEXURE OF THE COLON DUE TO VOLVULUSRECOVERY OF A CHILD; SPONTANEOUS ANASTOMOSIS BETWEEN THE DESCENDING COLON AND THE RECTUM

Author Affiliations

CHICAGO
From the Surgical Department of the Cook County Hospital.

Arch Surg. 1940;41(2):403-407. doi:10.1001/archsurg.1940.01210020199020

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

Acute intestinal obstruction produced by volvulus of the sigmoid flexure of the colon with complete gangrene is very rare in a child, but that such a patient should not only recover but have a spontaneously developed anastomosis between the descending colon and the upper part of the rectum is unique and, therefore, seems worthy of publication.

Volvulus, or twisting of the intestines, may occur in any portion of the gastrointestinal tract but is most commonly met with in the sigmoid flexure, the cecum and the ascending colon. It is predisposed to by an abnormally long mesentery combined with a narrow base between the afferent and the efferent loops. The presence of adhesions and tumors in the mesentery or in the bowel itself is often a contributing factor. Constipation unquestionably plays an important role. It occurs more often in males than in females, usually affects persons beyond middle life and accounts

First Page Preview View Large
First page PDF preview
First page PDF preview
×