抄録
Volvulus of the sigmoid cnlon is not rare, however, the choice of treatment had been a matter of controversy. In 1947, Bruusgaard reported a new reduction method to treat for non-gangrenous loops using a proctoscope. Because of the success rate of his non-operative technique, proctoscopic reduction was confirmed its effectiveness and relative safety of the treatment of acute volvulus as the initial therapeutic approach. We also succeeded the non-operative reduction of volvulus by means of a flexible sigmoidoscope. A 45 years old female was admitted to our hospital complaining of severe sense of fullness and abdominal pain. A plain x-ray picture of the abdomen revealed a chracteristic grossly-distended U-shaped loop of the sigmoid colon, apparently filling the abdomen, and a diagnosis of volvulus of the sigmoid colon was established. A flexible sigmoidoscope (TCF-ls, Olympus) was inserted immediately, inspite of a proctoscope, and stenotic colonic canal was observed in the distance about 20cm from the dentate line. -However, no endoscopic findings such as inflammation or necrosis were inspected in this stenotic area. Then the sigmoidofiberscope was introduced slowly passing through the stenotic area and reached to the marked distended sigmoid colon. Aspirating gass and fecal materials, volvulus of thee sigmoid colon was endoscopically reduced easily.
