Ball Valve Syndrome is caused by Colon Polyp
DOI:
https://doi.org/10.3889/oamjms.2022.11043Keywords:
Colonoscopy, Ball valve, High-grade dysplasia, PolypectomyAbstract
BACKGROUND: Intestinal obstruction caused by ball valve syndrome, is a potentially lethal pathology. This case report will show ball valve syndrome in the large intestine (mechanical obstruction) and endoscopic treatment.
CASE PRESENTATION: Our patient presented with abdominal pain and with intestinal obstruction-ileus. After colonoscopic examination was noticed, a large precancerous pedunculated polyp obstructed of large intestine due to ball valve effect. Mechanical obstruction was removed with endoscopic polypectomy.
CONCLUSION: Endoscopic polypectomy must first be performed and if does not succeed, then indicated surgical interventions.Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Winawer SJ, Zauber AG, O’Brien MJ, Ho MN, Gottlieb L, Sternberg SS, et al. Randomized comparison of surveillance intervals after colonoscopic removal of newly diagnosed adenomatous polyps: The national polyp study work group. N Engl J Med. 1993;328(13):901-6. https://doi.org/10.1056/ NEJM199304013281301 PMid:8446136 DOI: https://doi.org/10.1056/NEJM199304013281301
Zauber AG, Winawer SJ, O’Brien MJ, Lansdorp-Vogelaar I, van Ballegooijen M, Hankey BF, et al. Colonoscopic polypectomy and long-term prevention of colorectal-cancer deaths. N Engl J Med. 2012;366(8):687-96. https://doi.org/10.1056/NEJMoa1100370 PMid:22356322 DOI: https://doi.org/10.1056/NEJMoa1100370
Brenner H, Stock C, Hoffmeister M. Effect of screening sigmoidoscopy and screening colonoscopy on colorectal cancer incidence and mortality: Systematic review and meta-analysis of randomised controlled trials and observational studies. BMJ. 2014;348:g2467. https://doi.org/10.1136/bmj.g2467 PMid:24922745 DOI: https://doi.org/10.1136/bmj.g2467
Arber N, Spicak J, Rácz I, Zavoral M, Breazna A, Gerletti P, et al. Five-year analysis of the prevention of colorectal sporadic adenomatous polyps trial. Am J Gastroenterol. 2011;106(6):1135-46. https://doi.org/10.1038/ajg.2011.116 PMid:21503000 DOI: https://doi.org/10.1038/ajg.2011.116
Brenner H, Hoffmeister M, Stegmaier C, Brenner G, Altenhofen L, Haug U. Risk of progression of advanced adenomas to colorectal cancer by age and sex: Estimates based on 840,149 screening colonoscopies. Gut. 2007;56(11):1585-9. https://doi.org/10.1136/gut.2007.122739 PMid:17591622 DOI: https://doi.org/10.1136/gut.2007.122739
Miller HL, Mukherjee R, Tian J, Nagar AB. Colonoscopy surveillance after polypectomy may be extended beyond five years. J Clin Gastroenterol. 2010;44(8):e162-6. https://doi.org/10.1097/MCG.0b013e3181e5cd22 PMid:20628313 DOI: https://doi.org/10.1097/MCG.0b013e3181e5cd22
Nusko G, Mansmann U, Kirchner T, Hahn EG. Risk related surveillance following colorectal polypectomy. Gut. 2002;51(3):424-8. https://doi.org/10.1136/gut.51.3.424 PMid:12171968 DOI: https://doi.org/10.1136/gut.51.3.424
Noshirwani KC, van Stolk RU, Rybicki LA, Beck GJ. Adenoma size and number are predictive of adenoma recurrence: Implications for surveillance colonoscopy. Gastrointest Endosc. 2000;51(4 Pt 1):433-7. https://doi.org/10.1016/s0016-5107(00)70444-5 PMid:10744815 DOI: https://doi.org/10.1016/S0016-5107(00)70444-5
Van Stolk RU, Beck GJ, Baron JA, Haile R, Summers R. Adenoma characteristics at first colonoscopy as predictors of adenoma recurrence and characteristics at follow-up. The polyp prevention study group. Gastroenterology. 1998;115(1):13-8. https://doi.org/10.1016/s0016-5085(98)70359-2 PMid:9649453 DOI: https://doi.org/10.1016/S0016-5085(98)70359-2
Martinez ME, Sampliner R, Marshall JR, Bhattacharyya AK, Reid ME, Alberts DS. Adenoma characteristics as risk factors for recurrence of advanced adenomas. Gastroenterology. 2001;120(5):1077-83. https://doi.org/10.1053/gast.2001.23247 PMid:11266371 DOI: https://doi.org/10.1053/gast.2001.23247
Sebastian S, Addley J, Crotty P, Buckley M. Giant gastric polyp. Gastrointest Endosc. 2004;59(3):398-9. https://doi.org/10.1016/s0016-5107(03)02595-1 PMid:14997140 DOI: https://doi.org/10.1016/S0016-5107(03)02595-1
Ozturk O, Koklu S, Sokmensuer C, Uner H. A giant benign polyp of the stomach. Gastroenterol Nurs. 2016;39(6):478-80. https://doi.org/10.1097/SGA.0000000000000239 PMid:27922519 DOI: https://doi.org/10.1097/SGA.0000000000000239
Jaffe T, Thompson WM. Large-bowel obstruction in the adult. Classic radiographic and CT findings, etiology, and mimics. Radiology. 2015;275(3):651-63. https://doi.org/10.1148/radiol.2015140916 PMid:25997131 DOI: https://doi.org/10.1148/radiol.2015140916
Pimentel-Nunes P, Dinis-Ribeiro M, Ponchon T, Repici A, Vieth M, De Ceglie A, et al. Endoscopic submucosal dissection: European society of gastrointestinal endoscopy (ESGE) guideline. Endoscopy. 2015;47(9):829-54. https://doi.org/10.1055/s-0034-1392882 PMid:26317585 DOI: https://doi.org/10.1055/s-0034-1392882
Gómez MA, Ruiz OF, Marulanda-Fernández H. Ball Valve syndrome caused by a colon polyp. Case report (with video). Rev Colomb Gastroenterol. 2020;35(4):519-21. https://doi. org/10.22516/25007440.404 DOI: https://doi.org/10.22516/25007440.404
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2022 Zaim Gashi, Fadil Sherifi, Fitore Komoni (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
http://creativecommons.org/licenses/by-nc/4.0