Colonic volvulus: A rare presentation of Hirschsprung's disease

Sarioğlu, A; Tanyel, Feridun Cahit; Büyükpamukçu, Nebìl; Hiçsönmez, Akgün

doi:10.1016/s0022-3468(97)90113-5

Cited by 44 publications

(38 citation statements)

References 5 publications

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“…Champault et al (1983) found colonic torsion accounted for 12% of 497 cases of colon obstruction in humans. The suggested aetiopathologies in horses and primates included dietary factors, infl ammatory bowel disease and Hirschprung-related enterocolitides (Farrell 1967;Foerner 1982;Champault et al 1983;Specht and Colahan 1988;Lashner et al 1989;Fincham et al 1992;Carberry and Flanders 1993;Sarioglu et al 1997;van Hoogmoed et al 2000). In the equine, the colon may be predisposed to torsion as it is relatively long and has a short mesenteric attachment (Carberry and Flanders 1993).…”

Section: Discussionmentioning

confidence: 99%

“…The fact that megacolon remained 3.5 months post-operatively lends weight to the suspicion that a degree of colonic dysfunction existed in this dog. Colonic biopsies have been used in humans and horses to confi rm the aetiopathogenesis of, and to predict survival following, large bowel torsion (Sarioglu et al 1997;van Hoogmoed et al 2000). The collection of full thickness colonic biopsies for histopathology was discussed at the time of surgical correction of the colonic torsion but was not performed.…”

Section: Discussionmentioning

confidence: 99%

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Longitudinal colonic torsion as a cause of tenesmus in an adult Irish Water Spaniel

Milner¹,

Newington

2004

New Zealand Veterinary Journal

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Longitudinal colonic torsion as a cause of tenesmus in an adult Irish Water Spaniel

Milner¹,

Newington

2004

New Zealand Veterinary Journal

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“…SV is a rare complication of HD, with a reported prevalence of 0.66% 4. Conversely, among children presenting with SV, 18% also have HD 4.…”

Section: Discussionmentioning

confidence: 99%

“…Conversely, among children presenting with SV, 18% also have HD 4. Unrecognised SV can be life-threatening, so its possibility should be considered in children presenting with acute or recurrent abdominal pain, distension, constipation, nausea and vomiting 5.…”

Section: Discussionmentioning

confidence: 99%

Sigmoid volvulus: an uncommon complication of Hirschsprung's disease

et al. 2016

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Sigmoid volvulus is a rare and potentially life-threatening condition that is usually seen in adults, however, when diagnosed in children, it is often associated with Hirschsprung's disease (HD). We report a case of an 11-year-old boy who presented with a history of constipation since 1.5 months of age, with acute onset of severe abdominal pain and marked distention of the abdomen. Sigmoid volvulus was suspected, detected and successfully managed with resection of the sigmoid colon and primary Scott Boley's pull-through. This report underscores the importance of suspecting sigmoid volvulus in the pertinent clinical setting; also, a primary definitive procedure can be performed in select cases.

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“…A review of the literature revealed only 12 cases of colonic volvulus occurring in patients with HD, all involving young males ranging in age from 1 day to 12 years (Table 1) [9] reported the incidence of HD presenting with colonic volvulus to be 0.66%. In another pediatric series, HD was found to be the underlying cause for 17% of all cases of sigmoid volvulus [11].…”

Section: Discussionmentioning

confidence: 99%

Adult Hirschsprung’s disease presenting as sigmoid volvulus: a case report and review of literature

Tan

Heah³

et al. 2006

Tech Coloproctol

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Sigmoid volvulus is a rare presentation of Hirschsprung's disease. A 38-year-old male presented with acute intestinal obstruction and a history of chronic constipation since childhood. Abdominal radiographs showed megarectum and megacolon with dissipated feces. Sigmoidoscopy revealed gangrenous bowel mucosa affecting the sigmoid colon. Emergency laparotomy revealed a grossly dilated bowel with concurrent gangrenous sigmoid volvulus. He was treated successfully with proctocolectomy with J-pouch-anal anastomosis and a defunctioning ileostomy. Histological analysis was consistent with short segment Hirschsprung's disease. Although uncommon, adult Hirschsprung's disease is a cause of chronic constipation and can present acutely with a sigmoid volvulus. Mortality in cases with sigmoid volvulus is greater than in cases without (15.4% vs. 0%). A better awareness of this condition will facilitate management.

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Colonic volvulus: A rare presentation of Hirschsprung's disease

Cited by 44 publications

References 5 publications

Longitudinal colonic torsion as a cause of tenesmus in an adult Irish Water Spaniel

Longitudinal colonic torsion as a cause of tenesmus in an adult Irish Water Spaniel

Sigmoid volvulus: an uncommon complication of Hirschsprung's disease

Adult Hirschsprung’s disease presenting as sigmoid volvulus: a case report and review of literature

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