Introduction
A volvulus occurs when a segment of intestine, usually part of the
colon, twists around its mesentery. Following this rotation, initially
venous return is disturbed and causes ischemia caused by venous stasis.
With the prolongation of obstruction in the mesenteric vessels, along
with the distention of the twisted segment of the intestine due to the
progressive production of gas by the bacteria inside it, the arterial
input is also disturbed, and the mucosal ischemia gradually progresses
towards the muscular and serous layers, leading to perforation of the
entire thickness of the intestine
Sigmoid volvulus accounts for 2% to 5% of colonic obstructions in
Western countries and 20% to 50% of colonic obstructions in Eastern
countries (1). This occurs mostly in patients with lack of mobility and
a history of chronic constipation, where the sigmoid colon becomes
chronically distended and redundant.
Undescended
testis (UDT) is defined as one or both
testicles
absent in scrotal sac when descending processes become disturbed and
testis remains inside the peritoneal cavity (2). There are some very
known complications of a undescendent intra-abdominal testicle such as
cancer, ischemia and infertility(3); 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.
In this article, we introduce a 67-year-old man who underwent laparotomy
with the diagnosis of sigmoid volvulus, and the intraoperative findings
were surprising.