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Brown bowel syndrome, an unusual cause of sigmoid volvulus.

Brown bowel syndrome, an unusual cause of sigmoid volvulus.
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Burke E, Connelly T, Mehmood A, Murphy M, O'Donoghue G,


Burke E, Connelly T, Mehmood A, Murphy M, O'Donoghue G, (click to view)

Burke E, Connelly T, Mehmood A, Murphy M, O'Donoghue G,

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Journal of surgical case reports 2018 03 262018(3) rjy039 doi 10.1093/jscr/rjy039
Abstract

We report a case of a 79-year-old gentleman who presented to the emergency department with a 5-day history of abdominal pain, constipation, a progressively distending abdomen and new onset feculent vomiting on a background of a recent endoscopic decompression of a sigmoid volvulus. Investigations confirmed the presence of a recurrent sigmoid volvulus. Attempts to reduce this endoscopically failed and laparotomy with sub-total colectomy and ileostomy formation was performed. Histology from the resected specimen identified a distinct pathology, namely intestinal lipofuscinosis also known as brown bowel syndrome. Brown bowel syndrome is a recognized but rare complication of chronic long term malnutrition. It may present in a myriad of ways including atonia and, rarely, massive colonic dilatation, as in our case.

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