Sigmoid volvulus in rural Bengal

Trop Doct. 2002 Apr;32(2):80-2. doi: 10.1177/004947550203200207.


Between January 1995 and December 2000, 197 patients (44.97%) were treated for sigmoid volvulus at Bankura Medical College and Hospital, Bankura, West Bengal, India. The mean age was 45.06 years and the male to female ratio was 2.07:1. The various aetiological factors, clinical features and management have been reviewed. Abdominal distension with obstipation was the common clinical presentation. Straight X-ray of the abdomen suggested the diagnosis. Management included celiotomy and primary resection and anastomosis without intra-operative lavage in 196 patients and sigmoidopexy in one patient. The overall mortality rate was 1.01%. There was only one recurrence in the patients who had undergone sigmoidopexy. Primary resection and anastomosis at initial presentation proved a safe operative treatment and avoided unnecessary repeated hospitalization.

MeSH terms

  • Diet
  • Female
  • Humans
  • India / epidemiology
  • Intestinal Obstruction / diagnostic imaging
  • Intestinal Obstruction / epidemiology*
  • Intestinal Obstruction / etiology*
  • Intestinal Obstruction / mortality
  • Intestinal Obstruction / surgery
  • Male
  • Middle Aged
  • Radiography
  • Sigmoid Diseases / diagnostic imaging
  • Sigmoid Diseases / epidemiology*
  • Sigmoid Diseases / etiology*
  • Sigmoid Diseases / mortality
  • Sigmoid Diseases / surgery