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Sigmoidocele (also known as pouch of Douglas descent) is a medical condition in which a herniation of peritoneum containing loops of redundant sigmoid colon descends (prolapses) into the rectouterine pouch (in females), between the rectum and the vagina. [1] [2] This can obstruct the rectum and cause obstructed defecation syndrome. [3]
Fecal calprotectin, a marker of colon inflammation, may be elevated. Computed tomography of the abdomen is not routinely necessary, but may show thickening or inflammation in the distal colon (sigmoid colon) with associated diverticulosis. Treatment may consist of antibiotics, aminosalicylates (mesalamine), or prednisone. In rare cases, surgery ...
Sigmoid colon volvulus: Abdominal pain (>2 days, distention, constipation) Cecal volvulus: Abdominal pain (acute onset), nausea, vomiting Clinical (history and physical exam) Imaging (abdominal X-ray or CT) Sigmoid: Gastroenterology consultation (flexibile sigmoidoscopy) Cecal: General surgery consultation (right hemicolectomy) Ectopic ...
Similarly, urinary tract infections can also cause pain in this region, says Sherry Ross, M.D., women’s sexual health expert, author of she-ology and the she-quel. Other conditions
IBS or irritable bowel syndrome is a digestive disorder that impacts the large intestine (colon) and causes uncomfortable symptoms like abdominal pain, bloating, and changes in bowel movements.
In North America and Europe the abdominal pain is usually on the left lower side (sigmoid colon), while in Asia it is usually on the right (ascending colon). [2] [8] The disease becomes more frequent with age, ranging from 5% for those under 40 years of age to 50% over the age of 60. [9] [1] It has also become more common in all parts of the ...
CT scan showing extensive diverticulosis of the sigmoid colon Diverticular disease Whole slide of a transverse section of the left colon with diverticulosis. Diverticulosis is defined by the presence of multiple pouches (diverticula) in the colon. [22] In people without symptoms, these are usually found incidentally during other investigations.
The sigmoid colon is completely surrounded by peritoneum (and thus is not retroperitoneal), which forms a mesentery (sigmoid mesocolon), which diminishes in length from the center toward the ends of the loop, where it disappears, so that the loop is fixed at its junctions with the iliac colon and rectum, but enjoys a considerable range of movement in its central portion.