dc.contributor.author	Asrar Ahmad
dc.contributor.author	Irum saleem
dc.contributor.author	Mahwish Mahboob Bhutta
dc.contributor.author	Mashal Ahmed
dc.contributor.author	Namra Sohail Raja
dc.contributor.author	Rafia Durrani
dc.date.accessioned	2023-01-31T05:53:46Z
dc.date.available	2023-01-31T05:53:46Z
dc.date.issued	2023-01-01
dc.identifier.issn	2220-7562
dc.identifier.uri	http://hdl.handle.net/123456789/14778
dc.description	JBUMDC	en_US
dc.description.abstract	Sigmoid volvulus is a well-known cause of large bowel obstruction. Its management includes urgent endoscopic decompression or emergency laparotomy. The gangrenous sigmoid colon is resected with either end to end anastomosis or Hartmann’s procedure. Here we present a rare presentation of sigmoid volvulus causing gangrene of the whole colon. It was probably due to double closed loop obstruction caused distally by the volvulus itself and proximally by the competent ileo-caecal valve. It was managed by total colectomy with terminal ileostomy and Hartmann’s procedure. To our knowledge only one such case report has been published in the literature so for	en_US
dc.language.iso	en	en_US
dc.publisher	Bahria University Health Sciences college Karachi	en_US
dc.relation.ispartofseries	13;01
dc.subject	gangrene, ileostomy, laparatomy, volvulus	en_US
dc.title	Sigmoid Volvulus Necessitating Total Colectomy	en_US
dc.type	Article	en_US