An uncommon cause of acute abdomen in an acromegalic patient: colonic volvulus.

An uncommon cause of acute abdomen in an acromegalic patient: colonic volvulus. Ann Ital Chir. 2018;89:572-576 Authors: Hancerliogullari O, Senocak R, Kaymak S, Lapsekili E, Sinan H Abstract Acromegaly is a chronic endocrine disease, typically caused by a pituitary adenoma leading to increased circulating GH levels and increased IGF-I secretion by peripheral tissues. Gastrointestinal diseases related acromegaly such as colon cancers, adenomatous polyps, and dolichocolon are much less known. We aimed to present a case of complete colonic volvulus in a patient with acromegaly. A 60-year-old male patient presented with the complaints of inability to pass gas or stool, worsening distension, and pain for one week. The clinical exam showed significant tenderness and distended abdomen as well as a typical appearance of acromegaly. In his past medical history, he underwent an operation of pituitary adenoma with the diagnosis of acromegaly. He also underwent a sigmoid colon resection due to dolichocolon detected by abdominal computerized tomography (CT) and colonoscopy. Upright abdominal X-ray was compatible with volvulus, so endoscopic distortion was tried but failed. At exploration, entire colon was extremely dilated and had a necrotic appearance, and observed to be twisted 360 degrees around its mesenteric axis. The patient underwent total colectomy and end ileostomy. Pathology result was reported as necrotic and hemorrhagic colon with 150...
Source: Annali Italiani di Chirurgia - Category: Surgery Tags: Ann Ital Chir Source Type: research