title: Delayed presentation of sigmoid volvulus in a young woman.
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.
authors.affiliation: Arrowhead Regional Medical Center, Departments of Emergency Medicine and Surgery, Colton, California.
authors.forename: Daniel
authors.initials: D
authors.lastname: Weingrow
authors.forename: Andrew
authors.initials: A
authors.lastname: McCague
authors.forename: Ravi
authors.initials: R
authors.lastname: Shah
authors.forename: Fariborz
authors.initials: F
authors.lastname: Lalezarzadeh