Sigmoid volvulus secondary to undescended testicle ,Report of first case in the literatures

مقدمه/ بیان مساله : Sigmoid volvulus accounts for ۲۰% to ۵۰% of colonic obstructions in Eastern countries. This occurs mostly in patients with lack of mobility and a history of chronic constipation. There are some very known complications of a undescendent intra-abdominal testicle such as cancer, ischemia and infertility; But the rotation of the colon around the spermatic cord of one UDT, it is a very rare phenomenon that there is no similar report.معرفی بیمار : a ۶۷-year-old man, came to the emergency department with a complaint of abdominal pain and obstipation. On examination patient was febrile (T:۳۸.۵)and mild general tenderness . according to the appearance of coffee beans in the X-ray, the diagnosis of sigmoid volvulus was made. In the requested tests, leukocytosis was observed. Rectosigmoidoscopy was unsuccessful The patient underwent laparotomy.After manual untwisting, a tubular structure at the base of the meso-sigmoid was noticed. With further exploration the testis was observed intra abdominally. orchidectomy and sigmoidectomy was performed by Hartmann's method.

کلیدواژه ها:

Sigmoid volvulus ، undescended testicle