Abstract
An 85-year-old female who was almost confined to bed for Parkinson's disease was emergently admitted to our hospital because of respiratory failure with pulmonary aspiration. Abdominal CT showed intestinal obstruction caused by volvulus of the sigmoid colon. Colonoscopy was performed, but repositioning was not endoscopically done. An emergency resection of the sigmoid colon which was suspected to be necrotic was performed. The postoperative course was uneventful, and she was discharged from the hospital. Six months after the operation, she presented with abdominal pain and respiratory failure. We performed laparotomy with a diagnosis of volvulus of the cecum. The operative findings revealed that the cecum was markedly distended and rotated counterclockwise by 180 degrees. We excised the right colon.
Colon volvulus is not a rare condition, but few cases of metachronously occurred colon volvulus in different sites have been reported. This paper presents our experience with a case of sigmoid and cecal volvulus developed metachronously in a short period of time, with precise bibliographic consideration.
