Delayed Presentation of Sigmoid Volvulus in a Young Woman

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" Delayed Presentation of Sigmoid Volvulus in a Young Woman "
Weingrow, Daniel; McCague, Andrew; Shah, Ravi; Lalezarzadeh, Fariborz

Document Type	:	AL
Record Number	:	934175
Doc. No	:	LA1k2639d0
Language of Document	:	English
Main Entry	:	Weingrow, Daniel; McCague, Andrew; Shah, Ravi; Lalezarzadeh, Fariborz
Title & Author	:	Delayed Presentation of Sigmoid Volvulus in a Young Woman [Article]\ Weingrow, Daniel; McCague, Andrew; Shah, Ravi; Lalezarzadeh, Fariborz
Title of Periodical	:	Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Volume/ Issue Number	:	13/1
Date	:	2012
Abstract	:	Volvulus is an unusual condition in Western countries, generally isolated to elderly patients with multiple comorbidities. This report describes an unusual case of a very large gangrenous sigmoid volvulus in a young, otherwise healthy 25-year-old female. A review of the diagnosis and management is subsequently described. Without a consideration of the atypical demographics for sigmoid volvulus, the case illustrates the potential morbidity due to a delayed diagnosis. Early identification and management are crucial in treating sigmoid volvulus before the appearance of gangrene and necrosis, thereby avoiding further complications and associated mortality. [West J Emerg Med. 2012; 13(1):100–102.]