UNASSIGNED: The aim of this study is to report our experience in the management of sigmoid @entity3313 in a tropical environment. This retrospective study covers the period from June 1, 2010, to December 31, 2013, in the department of emergency surgery at the regional hospital of Thi  s: 40 @entity1 were admitted with sigmoid @entity3313 : 36 @entity1 and 4 @entity1 , with a mean age of 45 years (20-89 years). Twelve had chronic @entity1142 . All four signs of @entity432 were present in 72.5% of cases. Abdominal radiography confirmed the diagnosis in all cases. The @entity3313 resolved spontaneously in one @entity1 , while the other 39 required laparotomy: 25 had a one-stage colectomy, and 11 @entity1 a sigmoidectomy with a temporary colostomy. Two @entity1 underwent a sigmoidopexy, one with a simple closure of a perforated duodenal @entity1066 . The morbidity rate was 7.5%, due mainly to complications of @entity281 . The mortality rate was 10%. After a mean follow-up of 2.77 months (range: 15 days-12 months), no recurrences were observed. @entity3313 is a common condition in Africa especially in younger @entity1 . The diagnosis is easy, based on clinical and abdominal radiography findings. Several procedures have been described but the one-stage colectomy remains the method of choice, especially in tropical areas where socioeconomic conditions are difficult.

Management of sigmoid XXXX in the tropical area of Thies (Senegal).

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient', 'men'] @entity3313 :: ('MESH:D045822', 'Disease') :: ['Sigmoid volvulus', 'volvulus'] @entity1066 :: ('MESH:D014456', 'Disease') :: ['ulcer'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity432 :: ('MESH:D001157', 'Disease') :: ['occlusion'] @entity1142 :: ('MESH:D003248', 'Disease') :: ['constipation']
@entity3313 :: (MESH:D045822,Disease) :: ['volvulus']
