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"sigmoid volvulus" AND management

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Sigmoid Volvulus Case Report

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Here is a summary of everything that was built into the document:
Structure (CARE Guidelines-compliant)
SectionContent
Title + Author blockFull academic title, author, institution, correspondence
AbstractBackground / Case Presentation / Conclusion / Keywords
1. IntroductionEpidemiology, "volvulus belt," African context, rationale for this report
2. Patient InformationFormatted table (age, sex, location, dietary history, surgical history)
3. Clinical PresentationChief complaint, history, physical exam findings table
4. Diagnostic WorkupLab discussion + X-ray findings with the coffee bean sign; Figure 1 (X-ray image from your file)
5. Differential Diagnosis5-row comparison table (volvulus vs. carcinoma, Ogilvie, ileus, toxic megacolon)
6. Therapeutic InterventionResuscitation - rectal decompression attempt - laparotomy - detorsion - sigmoidopexy; Figures 2-4 (intraoperative photos)
7. Follow-up & OutcomeDischarge plan, elective resection recommendation, dietary advice
8. Discussion5 subsections: epidemiology in Africa, clinical features, management pathway, resource-limited settings, prevention
9. Key Learning Points6 bullet points
10. EthicsConsent statement, anonymisation
11. Author Contributions
12. References9 references including WSES 2023 guidelines [PMID 37189134], Rosen's, Bailey & Love's, Current Surgical Therapy, CARE guidelines
Sources used:
  • Bailey & Love's Short Practice of Surgery, 28th ed. - Chapter 78
  • Current Surgical Therapy, 14th ed. - Sigmoid Volvulus section
  • Rosen's Emergency Medicine, 10th ed. - Chapter 81
  • WSES Consensus Guidelines 2023 (Tian et al., PMID 37189134)
  • Savitch & Harbaugh, Clin Colon Rectal Surg 2024 (PMID 39399132)
  • Sabatini et al., J Clin Med 2026 - endoscopic derotation meta-analysis (PMID 41682876)
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