ﮔﺰارش ﯾﮏ ﻣﻮرد وﻟﻮﻟﻮس ﺳﯿﮕﻤﻮﺋﯿﺪ ﮔﺎﻧﮕﺮﻧﻪ در زﻣﯿﻨﻪ اوﻧﺘﺮاﺳﯿﻮن ﻫﻤﯽ دﯾﺎﻓﺮاﮔﻢ ﭼﭗ

A Case Report of Gangrenous Sigmoid Volvulus Accompanied with Eventration of Left Hemidiaphragm

ﻫﻤﺰﻣﺎﻧﯽ دو وﺿﻌﯿﺖ وﻟﻮﻟﻮس ﺳﯿﮕﻤﻮﺋﯿﺪ ﮐﻪ ﯾﮑﯽ از ﻋﻠﻞ اﻧﺴﺪاد رودهاي ﺑﻪ ﺷﻤﺎر ﻣﯽآﯾﺪ و اوﻧﺘﺮاﺳﯿﻮن دﯾﺎﻓﺮاﮔﻢ ﮐﻪ ﻫﺮ ﯾﮏ ﺑﻪ ﺗﻨﻬﺎﯾﯽ ﭘﺪﯾﺪهﻫﺎﯾﯽ ﻧﻪ ﭼﻨﺪان ﺷﺎﯾﻌﯽاﻧﺪ، ﺑﺴﯿﺎر ﻧﺎدر اﺳﺖ. وﻟﻮﻟﻮس ﺳﯿﮕﻤﻮﺋﯿﺪ وﺿﻌﯿﺘﯽ اﺳﺖ ﮐﻪ ﻗﻮﺳﯽ از ﮐﻮﻟﻮن ﺳﯿﮕﻤﻮﺋﯿﺪ ﺣﻮل ﻣﺰاﻧﺘﺮ ﺧﻮد دﭼﺎر ﭼﺮﺧﺶ ﻣﯽﮔﺮدد و ﻧﻮع راﺟﻌﻪ آن ﺑﻪ دورهﻫﺎي ﻋﻮد ﮐﻨﻨﺪه وﻟﻮﻟﻮس ﮐﺎﻣﻞ ﯾﺎ ﻧﺴﺒﯽ ﻧﺎﺣﯿﻪ ﺳﯿﮕﻤﻮﺋﯿﺪ اﻃﻼق ﻣﯽﺷﻮد ﮐﻪ در ﺑﯿﺸﺘﺮ ﻣﻮارد در اﻓﺮاد ﻣﺴﻦ ﻣﺸﺎﻫﺪه ﻣﯽﮔﺮدد. ﮐﺸﻮر اﯾﺮان ﻫﻢ در ﮐﻤﺮﺑﻨﺪ وﻟﻮﻟﻮس ﺟﻬﺎن ﻗﺮار ﮔﺮﻓﺘﻪ اﺳﺖ. اوﻧﺘﺮاﺳﯿﻮن ﻧﯿﺰ وﺿﻌﯿﺘﯽ اﺳﺖ ﮐﻪ ﺑﻪ ﻋﻠﺖ ﻧﻘﺼﯽ ﺳﺎﺧﺘﺎري در دﯾﺎﻓﺮاﮔﻢ ﺑﺎﻋﺚ اﺧﺘﻼل ﻋﻤﻠﮑﺮد و راﻧﺪه ﺷﺪن اﺣﺸﺎي داﺧﻞ ﺷﮑﻤﯽ ﺑﻪ داﺧﻞ ﻗﻔﺴﻪ ﺳﯿﻨﻪ ﻣﯽﮔﺮدد. در اﯾﻦ ﻣﻘﺎﻟﻪ ﺑﻪ ﻣﻌﺮﻓﯽ ﻣﺮدي 65 ﺳﺎﻟﻪ ﺑﺎ وﻟﻮﻟﻮس راﺟﻌﻪ ﺳﯿﮕﻤﻮﺋﯿﺪ ﭘﺮداﺧﺘﻪ ﻣﯽﺷﻮد ﮐﻪ ﺑﯿﻤﺎرياش ﺑﺎ اوﻧﺘﺮﯾﺸﻦ ﻫﻤﯽ دﯾﺎﻓﺮاﮔﻢ ﭼﭗ ﻫﻤﺮاﻫﯽ داﺷﺖ ﺑﻪ ﻃﻮري ﮐﻪ ﻣﻨﺠﺮ ﺑﻪ ﮔﺎﻧﮕﺮن ﺳﯿﮕﻤﻮﺋﯿﺪ در داﺧﻞ ﺣﻔﺮه ﺗﻮراﮐﺲ ﺷﺪه ﺑﻮد.

Contemporaneity of sigmoid volvulus, considered as one of the bowel obstruction causes and diaphragmatic eventration that each of them are not so common entities, is extremely rare. Sigmoid volvulus is a condition in which a loop of sigmoid colon twists around its mesentery and recurrent type of that is a clinical entity characterized by recurrent episodes of partial or complete sigmoid volvulus. It can be demonstrated from being asymptomatic to abdominal discomforts, nausea, vomiting and constipation. Iran has also been located in the "volvulus belt" region. Diaphragmatic eventration is a structural disorder affecting its natural function and predisposes to push toward viscera into thorax. We are reporting a case of recurrent sigmoid volvulus in a 65 year old man who had contemporaneously left hemidiaphragm eventration so that during operation a loop of gangrenous sigmoid was found into his left hemi thorax.