What question did this study set out to answer?

To describe an uncommon presentation of metachronous volvulus involving distinct small and large bowel segments in a single patient and evaluate underlying predisposing mechanisms.

September 14, 2025CureusOpen Access

Metachronous Small Bowel and Sigmoid Volvulus in an Elderly Male: A Case Report

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Authors

YMYoichi MiyaokaSapporo Kosei General Hospital SSShingo ShimadaHokkaido University YYYuichi YoshidaSapporo Kosei General Hospital

Discussion

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Implication

Case report reveals metachronous ileal and sigmoid volvulus in an elderly male, suggesting anatomical mobility and adhesions drive sequential torsion.

Key Points

To describe an uncommon presentation of metachronous volvulus involving distinct small and large bowel segments in a single patient and evaluate underlying predisposing mechanisms.
Clinical and radiographic case evaluation of an elderly male presenting with metachronous intestinal volvulus across separate episodes (N=1).
Assessment of diagnostic computed tomography findings and subsequent surgical interventions.
Initial emergency laparotomy successfully treated an ileal volvulus, followed several years later by a distinct sigmoid volvulus requiring colectomy.
Computed tomography accurately identified intestinal torsion, luminal obstruction, and ischemic risk across episodes.
Anatomical features including an elongated, mobile mesentery and secondary postoperative adhesions were characterized as predisposing factors for recurrent volvulus.

Cite This Study

Miyaoka et al. (2025) studied this question.

synapsesocial.com/papers/6a9138d1a97dfa43b74637cb https://doi.org/10.7759/cureus.92306

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Implication

Case report reveals metachronous ileal and sigmoid volvulus in an elderly male, suggesting anatomical mobility and adhesions drive sequential torsion.

Metachronous Small Bowel and Sigmoid Volvulus in an Elderly Male: A Case Report

Discussion

Member takes

Implication

Key Points

Cite This Study

Metachronous Small Bowel and Sigmoid Volvulus in an Elderly Male: A Case Report

Discussion

Member takes

Implication

Key Points

Cite This Study

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