Volvulus of the sigmoid colon

Farringer, J. L.; Wilson, Harwell

doi:10.1016/0002-9610(55)90541-9

Cited by 13 publications

(2 citation statements)

References 7 publications

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“…Recurrence of the sigmoidal volvulus has been reported to occur in 8% of children compared with 50e60% of adult patients. 4 Hines et al 13 advised elective sigmoid resection as soon as possible after any method of reduction in view of a high rate of recurrence. Because this conclusion is based on their experience with adults, it may not be applicable to children because the recurrence rate in children is much lower.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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“…On the evidence available both congenital and acquired factors appear to be aetiologically significant; it is probable that in this case congenital redundancy of the sigmoid colon was the primary lesion. It is possible that secondary contraction of the base of the mesentery was an additional factor; the importance of this latter factor has been stressed by Farringer and Wilson (1955) who also reported one case in a child aged less than ten years. Throughout the literature many references are made to the fact that sigmoid volvulus has a different incidence in different countries; also it has been suggested that dietetic factors are probably significant in explaining the different incidence.…”

Section: Discussionmentioning

confidence: 99%

Recurrent Volvulus of the Sigmoid Colon in a Young Patient

Na¹

1964

Australian and New Zealand Journal of Surgery

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Summary A case of recurrent volvulus of the sigmoid colon in a young patient has been reported. Attention has been drawn to the relative rarity of this condition and the absolutrarity in young patients. A plea has been made for a uniform terminology in describing volvulus of the sigmoid colon. Radiological examination is diagnostic;. at the same time it has been pointed out that redundancy of the sigmoid colon as an isolated feature is in no way related to the condition discussed and does not warrant operative treatment. The treatment of recurrent volvulus of the sigmoid colon is sigmoid colectomy.

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Surgical Management of Volvulus of the Sigmoid

Prather¹,

Bowers²

1962

Arch Surg

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Volvulus of the sigmoid colon

Cited by 13 publications

References 7 publications

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

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

Recurrent Volvulus of the Sigmoid Colon in a Young Patient

Surgical Management of Volvulus of the Sigmoid

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