Sigmoid Volvulus in an 11-Year-Old Girl

Wilk, Peter J.

doi:10.1001/archpedi.1974.02110220098014

Cited by 22 publications

(6 citation statements)

References 11 publications

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“…If untreated, it can result in hemorrhagic infarction, perforation, septic shock, and death. [7] Obstruction of the intestinal lumen and impairment of vascular perfusion occurs when the degree of torsion exceeds 180° and 360°, respectively. [8] This is consistent with our patient, where his SV was twisted at about 270° so that the barium enema could not pass from his rectum to his descending colon.…”

Section: Discussionmentioning

confidence: 99%

A case report and literature review of sigmoid volvulus in children

Chang

Jeng²,

Chen³

et al. 2017

Medicine

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SV is a congenital anomaly and an uncommon diagnosis in children. Nevertheless, case series and case reports of SV are becoming more prevalent in the literature. Failure to recognize SV may result in life-threatening complications such as sigmoid gangrene/perforation, peritonitis, sepsis, and death. Thus, if the children have persistent and recurrent abdominal distention, abdominal pain, and vomiting, physicians should consider SV as a "do not miss diagnosis" in the differential diagnosis.

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Section: Discussionmentioning

confidence: 99%

A case report and literature review of sigmoid volvulus in children

Chang

Jeng²,

Chen³

et al. 2017

Medicine

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“…The redundant sigmoid loop can rotate around its mesentery producing varying degrees of impairment of circulation, partial or complete obstruction of the lumen, and distension of the involved segment. If left untreated, hemorrhagic infarction, perforation, septic shock, and death may result [11] . The defi nitive treatment for sigmoid colon volvulus is surgical resection and primary anastomosis [10] .…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Sigmoidectomy using a Prolapsing Technique for Sigmoid Colon Volvulus in Children

Hamada¹,

Hirose²,

Kosaka³

et al. 2009

Eur J Pediatr Surg

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ratory data showed a white blood cell count of 9 800 / mm 3 (normal 3 500 -9 000) with a mild left shift, a C-reactive protein level of 0.15 mg / dl (normal, < 0.17) and a creatine kinase level of 123 IU / I (normal, 62 -287). The diagnosis was sigmoid colon volvulus and the patient underwent colonoscopic decompression. He was discharged and was followed up on an outpatient basis. A similar event occurred 6 months later, and he underwent colonic decompression followed by elective laparoscopic sigmoidectomy after complete bowel preparation. The patient was placed in the lithotomy position, and a 5-mm trocar for the laparoscope was inserted through a sub-umbilical incision, while the other three 5-mm trocars were inserted in the right upper, right lower, and left upper quadrants along the mid-clavicular line, respectively, and CO 2 gas was then insuffl ated at pressure of 8 mmHg. An elongated sigmoid colon with moderate dilatation was seen, with a long narrow-based mesentery and close approximation of the two limbs of the sigmoid loop. After simple fenestration of the sigmoid mesentery, a balloon catheter was introduced into the sigmoid colon through the anus, and the sigmoid colon was then tied tightly with umbilical tape just below the insuffl ated balloon. The catheter was carefully pulled out, creating a rectosigmoid prolapse ( • ▶ Fig . 2a,b ). The colon was transected at the rectosigmoid junction, the divided sigmoid colon was exteriorized via the anus, and the redundant part was resected with dissection of the arcade and straight vessels ( • ▶ Fig . 2c ). The detachable anvil

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“…Such a redundant sigmoid loop can rotate around its mesentery producing a varying degree of impairment of circulation, partial or complete obstruction of the lumen and distension of the involved bowel segment. If left untreated, haemorrhagic infarction, perforation, septic shock and death may result [4]. Other predisposing factors reported include Hirschsprung's disease, constipation, chronic recumbency with mental retardation or myotonic dystrophy [5].…”

Section: Discussionmentioning

confidence: 99%

Minimal access surgery for sigmoid volvulus in children

et al. 2006

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A 12-year-old boy presented with large-bowel obstruction due to sigmoid volvulus. Temporary relief was achieved with rectal tube decompression. Elective laparoscopic-assisted sigmoid colectomy was performed. Post-operative recovery was uneventful. The patient remained well with no recurrence after 4 years of follow-up. Laparoscopic-assisted sigmoid colectomy may be the procedure of choice for selected children with sigmoid volvulus.

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Sigmoid Volvulus in an 11-Year-Old Girl

Cited by 22 publications

References 11 publications

A case report and literature review of sigmoid volvulus in children

A case report and literature review of sigmoid volvulus in children

Laparoscopic Sigmoidectomy using a Prolapsing Technique for Sigmoid Colon Volvulus in Children

Minimal access surgery for sigmoid volvulus in children

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