Podcast 707: Sigmoid Volvulus

<p><strong>Contributor: Aaron Lessen, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Sigmoid volvulus occurs when the sigmoid colon twists 180 to 360 degrees</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">10% of intestinal obstructions in the US; 50-70% of intestinal obstructions worldwide</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">More common in elderly patients with chronic constipation</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Eventually may lead to bowel perforation, a surgical emergency</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Treatment is sigmoidoscopy or sigmoid colectomy</span></li> </ul> <p><strong>References</strong></p> <p><a href= "https://www.ncbi.nlm.nih.gov/books/NBK441925/"><span style= "font-weight: 400;">Lieske B, Antunes C. Sigmoid Volvulus. [Updated 2021 Aug 11]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441925/</span></a></p> <p><em><span style="font-weight: 400;">Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD</span></em></p> <p><span style="font-weight: 400;">The Emergency Medical Minute is excited to announce that we are now offering</span> <em><span style="font-weight: 400;">AMA PRA Category 1 credits™</span></em> <span style="font-weight: 400;">via online course modules. To access these and for more information, visit our website at</span> <a href= "https://emergencymedicalminute.org/cme-courses/"><span style= "font-weight: 400;">https://emergencymedicalminute.org/cme-courses/</span></a> <span style="font-weight: 400;">and create an account. </span></p> <p><a href= "https://www.paypal.com/donate?token=6bIZ91UwjZALMiRLAEcQYYPHyLILwbivQwgtGl3JzaB6oGAQK1B2nrGSGvrS-g7zJApXzVlWIO-lmLfB"> <span style="font-