Gangrene sigmoid volvulus: A rare case report from Vietnam

Background: Sigmoid volvulus is a gastrointestinal condition and a medical emergency that occurs when a segment of the colon twists upon its mesentery, leading to bowel obstruction and gangrene of the intestine.Male patients and seniors with persistent constipation are the primary populations affected by this condition.We present a rare case of a gangrene sigmoid volvulus diagnosed timely by CT-Scan.Case presentation: A 72-year-old Vietnamese male with a 3-day history of abdominal pain presented at the emergency department.A thorough medical history and physical examination revealed signs of bowel obstruction without evidence of peritonitis.Computed CT confirmed the diagnosis of sigmoid volvulus; it also led the surgical team to the decision to conduct an emergency laparotomy surgery due to the sigmoid ischemic sign depicted on the CT scan.Conclusion: This case report emphasizes the importance of radiographic tests in diagnosing and treating bowel obstruction.Especially in suspicion of volvulus, even without signs of peritonitis.