Intestinal Obstruction Due to Sigmoid Volvulus

McGLANNAN, Alexius

doi:10.1001/jama.1915.02570470028008

Cited by 1 publication

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“…Sigmoid volvulus has been known in the adult population for centuries, but the oldest article available online reporting on a pediatric case was written by Alexius McGlannan in 1915 [ 8 ]. In 1931, Carnes Weeks published the case of an 18-year-old boy and also provided a list of other previous cases of SV, including nine children [ 9 ].…”

Section: Results Of Literature Reviewmentioning

confidence: 99%

“…Colonoscopic detorsion in an adult patient was first published by Ghazi, Shinya et al [ 12 ], but the first reported use in children only took place in 2004 [ 13 ]. Although open detorsion was the common approach in the first reports [ 8 , 14 , 15 ], elective surgery to prevent a recurrence was already reported in 1964 [ 16 ] but became more regularly used in the 1990s.…”

Section: Results Of Literature Reviewmentioning

confidence: 99%

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Recurrent Sigmoid Volvulus in Children—Our Experience and Systematic Review of the Current Literature

Hencke,

Loff

2023

Children

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Sigmoid volvulus (SV) occurs rarely in children. After encountering two cases of recurrent SV, we reviewed the literature to define the recurrence risk, identify outcome predictors and to give treatment recommendations. We found 256 cases reported in children (mean age 10.2 years, gender ratio (m:f) 2.3:1). Associations exist with Hirschsprung disease (HD) in 10%, neurodevelopmental disorders in 10.9% and chronic constipation in 10.2%. Common symptoms and clinical signs were abdominal pain (85%), distension (85%), tenderness (54%) and vomiting (59%). Signs of peritonitis were present in 14% and indicated a gangrenous sigmoid (X2 = 45.33; p < 0.001). A total of 183 had abdominal radiographs, and 65% showed a positive ‘coffee-bean-sign’. Contrast enemas were positive in 90%. A total of 124 patients underwent laparotomy; in 41 cases, the sigmoid was gangrenous and associated with more complications (X2 = 15.68; p < 0.001). Non-operative treatment (NOT) like endoscopic, fluoroscopic or rectal tube decompression was performed in 135 patients and successful in 79% with a 38–57% recurrence rate. A total of 73 patients subjected to elective surgery: 50 underwent sigmoid resection; 17 had surgery for HD. Clinicians should consider SV in all children with abdominal pain, distension and vomiting. Gangrene carries a higher morbidity. After successful NOT we recommend counselling about the recurrence risk and definitive surgery should be advised. HD is frequent in newborns but sometimes found in older children.

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Section: Results Of Literature Reviewmentioning

confidence: 99%