Sigmoid volvulus in an adolescent girl: staged management with emergency colonoscopic reduction and decompression followed by elective sigmoid colectomy

Patel, Ramnik V; Njere, Ike; Campbell, Alison; Daniel, Rejoo; Fleet, Mahmud

doi:10.1136/bcr-2014-206003

Cited by 12 publications

(17 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although our patient was adoloscent, the average age of child reported is eight years with male preponderance (male/female ratio 3.5:1) [1]. Patel RV et al recently reported adolescent girl with sigmoid volvulus presented with complete large bowel obstruction [10]. The incidence of volvulus in adults is higher in Africa, the Middle East, Asia, and Russia which reported as “Volvulus Belt”.…”

Section: Discussionmentioning

confidence: 89%

Volvulus of sigmoid colon in a challenged adolescent: An unusual case report

Bhandari

Shahi

2019

Annals of Medicine and Surgery

View full text Add to dashboard Cite

Sigmoid volvulus is very uncommon cause of intestinal obstruction in pediatrics population withhigh rate of mortality. To date, few cases of sigmoid volvulus in children and association with several condition has been reported in literature, of them very few cases are with mental disability. We report a challenged (mentally disabled) 14-year old adolescent boy presented asan emergency with feature of complete bowel obstruction. Abdominal X-rays shows dilated loop of large bowel with inverted U shaped. Volvulus of sigmoid colon was found during laparotomy and successfully managed with resection of a redundant colon with colocolic end to end anastomosis. Sigmoid volvulus is relatively uncommon in children as compared to adults. Surgeons should be attentive of this rare entity, cause of large bowel obstruction to allow for early diagnosis and to enable better patient outcomes by reducing the morbidity and mortality.

show abstract

Section: Discussionmentioning

confidence: 89%

Volvulus of sigmoid colon in a challenged adolescent: An unusual case report

Bhandari

Shahi

2019

Annals of Medicine and Surgery

View full text Add to dashboard Cite

show abstract

“…Moreover, the present anatomic variation constitutes a major risk factor of sigmoid volvulus [ [1] , [2] , [3] , [6] , [7] , [11] , [15] ]. Indeed, the redundant loop of sigmoid colon may rotate around its narrow, extended mesocolon and provoke lymphovascular congestion and obstruction, followed by distension of the affected loop of the colon.…”

Section: Discussionmentioning

confidence: 99%

Anomalous course of the sigmoid colon and the mesosigmoid encountered during colectomy. A case report of a redundant loop of sigmoid colon

Zarokosta

Piperos

Zoulamoglou

et al. 2018

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

HighlightsA redundant sigmoid colon is defined as one that is too long to fit into its owner’s body without undergoing reduplication.It is associated with acute and chronic pathological conditions, sigmoid volvulus and serious confusions in radiological diagnosis and instrumentation of imaging procedures.Surgeons, obstetricians and radiologists ought to be aware of this variation and to emphasize to the correlation between gross and clinical anatomy, since their awareness determines the outcomes of an operation and the accurate radiographic diagnosis.

show abstract

“…Sigmoid volvulus is the third most common cause of large intestinal obstruction in adults; however, it is very rare in children 3,[5][6][7][8][9][10][11] . There are few cases of sigmoid volvulus reported in children in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…Zeng et al in his review of literature encountered 23 cases of sigmoid volvulus in both children and adults, which were the result of Hirschsprung's disease 6 . Rectal biopsy should be taken before the definite resection procedure whenever Hirschsprung's is suspected clinically or radiographically 8 . The acute management of sigmoid volvulus in non perforated colon involves an initial non-surgical detorsion followed by an elective sigmoidectomy, while surgery is the first approach for sigmoid volvulus with perforation 7 .…”

Section: Discussionmentioning

confidence: 99%

Chronic Constipation Leading to Sigmoid Colon Volvulus in an Adolescent

Alhindi¹,

Shihadeh²

2017

BMB

View full text Add to dashboard Cite

60Constipation is very common in children 1,2 . The estimated prevalence of functional constipation in children is 4% to 36% 1,2 . The complaint of constipation accounts for 3% of children visits to primary physicians and 25% of visits to pediatric gastroenterologist 1,2 . In spite of its prevalence, it rarely causes serious complications in children, such as sigmoid colon volvulus 3 . The volvulus of the sigmoid colon is believed to be caused by a twist of the mesentery of the redundant colon 3 . An abdominal radiograph is helpful in diagnosing the presence of sigmoid volvulus. There are a few specific radiographic signs for sigmoid volvulus, including the dilated ahaustral loops. Rectal tube reduction is very successful in reducing sigmoid volvulus; however, ultimately, most patients require sigmoidectomy 4,5 .The aim of this report is to present a rare case of sigmoid volvulus in a young female due to chronic constipation. THE CASEThe patient was a healthy thirteen-year-old female adolescent, who had a long history of chronic constipation and was occasionally using laxatives. As a newborn, she did not have delayed passage of meconium. She presented to the emergency room with a three-day history of severe abdominal pain, abdominal distension and bilious vomiting. On examination, her abdomen was distended and tender. Rectal examination revealed an empty rectum. The total white blood cell (WBC) count was slightly elevated at 10,000 with 75% polymorphonucleocytes. The abdominal X-ray revealed a severely dilated sigmoid colon suggestive of volvulus. The patient had a contrast enema study, which revealed a cut-off point of obstruction at the sigmoid colon, see figures 1 (A and B). The volvulus was reduced via a rectal tube. Subsequently, she had an elective sigmoidectomy and primary re-anastomosis. The rectal biopsy did not show evidence of Hirschsprung's disease. The patient was discharged in good general condition on the seventh postoperative day.We report a case of one of the rare complications of constipation in an adolescent. The patient presented with acute abdominal symptoms and the radiographic images revealed a dilated twisted sigmoid colon. Rectal tube reduction was successful and subsequently, the patient underwent sigmoidectomy and uneventful recovery.

show abstract

Sigmoid volvulus in an adolescent girl: staged management with emergency colonoscopic reduction and decompression followed by elective sigmoid colectomy

Cited by 12 publications

References 8 publications

Volvulus of sigmoid colon in a challenged adolescent: An unusual case report

Volvulus of sigmoid colon in a challenged adolescent: An unusual case report

Anomalous course of the sigmoid colon and the mesosigmoid encountered during colectomy. A case report of a redundant loop of sigmoid colon

Chronic Constipation Leading to Sigmoid Colon Volvulus in an Adolescent

Contact Info

Product

Resources

About