[Current therapeutic attitude in volvulus of the pelvic colon in tropical areas].
Diagnosis of the acute sigmoid volvulus is made by opacification of the colon by water-soluble chemicals. Therapeutic attitude is oriented by the results of an emergency colonoscopy. An emergency laparotomy is indicated when the mucosae presents an ischemic or necrotic aspect; a resection without anastomosis is performed according to Bouilly-Volkman's intervention in the best cases, Hartman's one in others. A normal colonoscopy authorizes a medical treatment with attempt of detorsion by passage of a flatus tube per rectum. A controlled success permits a delayed intervention ten days after with resection and anastomosis. Failure of medical treatment returns the surgical approach in emergency circumstances]
Zimmermann
J M
JM
Institut de Médecine Tropicale du Service de Santé des Armées, Le Pharo, Marseille.
De Graeve
B
B
Coblence
J F
JF
Colonna
M A
MA
D003113:Colonoscopy; D003125:Colostomy; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D012810:Sigmoid Diseases / Q000628:therapy*
Attitude thérapeutique actuelle devant le volvulus du colon pelvien en milieu tropical.