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Title: [Current therapeutic attitude in volvulus of the pelvic colon in tropical areas]. Author: Zimmermann JM, De Graeve B, Coblence JF, Colonna MA. Journal: Med Trop (Mars); 1989; 49(4):371-4. PubMed ID: 2622317. Abstract: 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][Abstract] [Full Text] [Related] [New Search]