Recurrent Volvulus of the Sigmoid Colon in a Young Patient

Na, Myers

doi:10.1111/j.1445-2197.1964.tb03869.x

Cited by 8 publications

(3 citation statements)

References 12 publications

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“…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%

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%

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

Hencke,

Loff

2023

Children

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“…Hydrostatic reduction may occur at the time of the diagnostic barium enema examination in children, thus avoiding the need for emergency surgery if bowel necrosis has not occurred. 2 Bruusgaard 11 and Abrams 3 has advocated detorsion by passage of a soft rectal tube under sigmoidoscopic control if there is no evidence of ischemic necrosis of the involved segment. If reduction cannot otherwise be accomplished or if strangulation is suspected, operative detorsion is indicated.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 There have been many reports of this condition in adults. In the United States, sigmoid volvulus accounts for 3e8% of all cases of intestinal obstruction.…”

Section: Introductionmentioning

confidence: 99%

Contrast-enhanced CT as a preferred diagnostic tool in sigmoid volvulus in a 14-year-old girl

Chang

Yeh

Hung³

2011

Formosan Journal of Surgery

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Volvulus of the sigmoid colon is rare in children although it is a common cause of large bowel obstruction in elderly people. We report a case of sigmoid volvulus in a 14-year-old girl with intellectual disability. She had a 1-year history of chronic diarrhea despite supportive treatment. She was brought to the emergency department because of intermittent abdominal pain associated with vomiting of bile and passage of bloody stools. A plain X-ray showed dilated bowel loops. A contrast-enhanced computed tomography (CT) scan showed both limbs of the distended loop tapering in size and forming a round soft-tissue mass with whirled configuration in the left colonic compartment.Preoperatively, volvulus was suspected. Exploratory laparotomy disclosed a markedly distended sigmoid colon packed with fecal material and a counterclockwise rotation of 720 degrees with strangulating gangrene. The volvulus was untwisted, and a 65-cm segmental resection of the colon and primary anastomosis were performed. The patient was discharged on the 19 th day following an uneventful postoperative course. We believe that a contrastenhanced CT scan is a useful tool in the diagnosis of sigmoid volvulus.

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Sigmoid Volvulus in an 11-Year-Old Girl

Wilk¹

1974

Am J Dis Child

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Recurrent Volvulus of the Sigmoid Colon in a Young Patient

Cited by 8 publications

References 12 publications

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

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

Contrast-enhanced CT as a preferred diagnostic tool in sigmoid volvulus in a 14-year-old girl

Sigmoid Volvulus in an 11-Year-Old Girl

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