An Unexpected Twist: Sigmoid Volvulus Complicated by Peritoneal Metastases

Authors

Aabid Mohiuddin
Fawaz Hussain
Eric Denha
Christine A. Schad, Henry Ford HealthFollow
Fadi Antaki
Samara Rifkin

Recommended Citation

Mohiuddin A, Hussain F, Denha E, Schad C, Antaki F, and Rifkin S. An Unexpected Twist: Sigmoid Volvulus Complicated by Peritoneal Metastases. Cureus 2025; 17(4):e82570.

Document Type

Article

Publication Date

4-1-2025

Publication Title

Cureus

Abstract

Sigmoid volvulus is the mechanical torsion of the sigmoid colon, its mesentery, and blood supply around itself, resulting in luminal obstruction and colonic ischemia. Initial management typically involves endoscopic detorsion; however, patients with peritonitis or who fail endoscopic therapy warrant surgical intervention. This case illustrates the rare presentation of recurrent sigmoid volvulus, which was refractory to endoscopic detorsion due to complications of peritoneal metastases, which tethered the sigmoid into a torsed position, ultimately requiring surgical resection. This report emphasizes the need for tailored, collaborative approaches to managing sigmoid volvulus in patients with underlying malignancy.

Medical Subject Headings

endoscopic detorsion; pancreatic adenocarcinoma; peritoneal metastases; recurrent volvulus; sigmoid volvulus

PubMed ID

40390728

Volume

17

Issue

4

First Page

82570

Last Page

82570