Non-invasive treatment of the sigmoid volvulus. A pediatric case report

Visalli, Carmela; Trimarchi, Renato; Spatola, Antonella; Miano, Sebastiano Maria; Salamone, Ignazio

doi:10.1016/j.radcr.2021.05.070

Cited by 4 publications

(1 citation statement)

References 20 publications

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“…AXR is the first-line imaging modality in children with suspicion of an acute abdomen. CT can be performed after abnormal findings on an X-ray, such as the coffee-bean sign [ 2 ]. The use of AXR may only identify between 17 and 30% of sigmoid volvulus in children [ 3 ], so if the clinical suspicion remains high, a CT should still be obtained in the presence of a normal AXR.…”

Section: Discussionmentioning

confidence: 99%

Sigmoid volvulus in a 14-year-old male mimicking acute gastroenteritis

Senanayake

McEwen

Naidoo

et al. 2023

Journal of Surgical Case Reports

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Sigmoid volvulus is a rare but life-threatening diagnosis in the paediatric population and has only been reported a handful of times in the literature. We describe the case of a 14-year-old boy with abdominal pain and diarrhoea who was diagnosed with a sigmoid volvulus after initially being managed for infectious gastroenteritis. The patient initially presented with a 5-day history of watery stool, 1-day history of profuse vomiting and colicky abdominal pain. Whilst admitted, the patient developed worsening abdominal pain, distention and hyperresonance to percussion. Computed tomography demonstrated a dilated sigmoid colon, with a mesenteric ‘whirl sign’ around the inferior mesenteric artery. The patient underwent a laparotomy, which confirmed a sigmoid volvulus, requiring an anterior resection. This case emphasises the importance for general surgeons to consider the rare diagnosis of sigmoid volvulus in children.

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Section: Discussionmentioning

confidence: 99%

Sigmoid volvulus in a 14-year-old male mimicking acute gastroenteritis

Senanayake

McEwen

Naidoo

et al. 2023

Journal of Surgical Case Reports

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Sigmoid volvulus as a rare cause of intestinal obstruction in the pediatric population: case series and literature review

Brito Rojas,

Hernández Peñuela,

Medina Gaviria

et al. 2024

International Journal of Surgery Open

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Introduction: Sigmoid volvulus is an uncommon cause of intestinal obstruction in the pediatric population. This pathology is associated with intestinal malrotation and sometimes with the presence of internal hernias. The clinical presentation includes pain, abdominal distension, and emesis; however, sometimes patients report nonspecific chronic symptoms. Among the diagnostic tools commonly used in children are radiography and abdominal tomography. There are multiple treatment strategies ranging from endoscopic to surgical procedures including resection with stoma creation. Timely diagnosis is crucial given the increased morbidity and mortality resulting from intestinal ischemia and perforation. Methods: A review of the medical records of the patients with a diagnosis of sigmoid volvulus treated by pediatric surgeons of the institution and led to devolvulation and subsequent sigmoidectomy presented below was carried out. Likewise, a literature search was carried out in electronic databases, using two equations using terms selected from ‘Medical Subject Heading’ (MeSH) and ‘Descriptors in Health Sciences’ (DeCS). The quality of the studies was evaluated with the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) tool for the construction of the manuscript. Results: Upon continuation, the experience of six patients between the ages of 5 and 17 with a diagnosis of sigmoid volvulus between the years 2021 and 2023 is presented. These patients were taken to initial decompression by different approaches and in a second surgical stage to sigmoidectomy, most of them with anastomosis. All patients had an adequate postoperative evolution without complications. Conclusion: Sigmoid volvulus is a rare condition in pediatrics with a variable and sometimes nonspecific clinical presentation; however, given the increased morbidity and mortality resulting from a delay in diagnosis, it is important to consider the clinical, paraclinical, and radiological findings that allow early identification as a cause of intestinal obstruction.

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Volvulus of the gastrointestinal tract

Brown,

Dick,

Watson

2024

Br J Hosp Med

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Volvulus describes the twisting of the intestine or colon around its mesentery. Intestinal obstruction and/or ischaemia are the most common complications of volvulus. Within the gastrointestinal tract, there is a preponderance towards colonic volvulus. The sigmoid is the most commonly affected segment, followed by the caecum, small intestine and stomach. Distinguishing between the differing anatomical locations of gastrointestinal volvulus can be challenging, but is important for the management and prognosis. This article focuses on the main anatomical sites of gastrointestinal volvulus encountered in clinical practice. The aetiology, presentation, radiological features and management options for each are discussed to highlight the key differences.

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Non-invasive treatment of the sigmoid volvulus. A pediatric case report

Cited by 4 publications

References 20 publications

Sigmoid volvulus in a 14-year-old male mimicking acute gastroenteritis

Sigmoid volvulus in a 14-year-old male mimicking acute gastroenteritis

Sigmoid volvulus as a rare cause of intestinal obstruction in the pediatric population: case series and literature review

Volvulus of the gastrointestinal tract

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