A Case of Sigmoid Volvulus in a Child.
10.5223/kjpgn.2010.13.2.199
- Author:
Dong Han LEE
1
;
Ju Hee WE
;
Hyun Seok PARK
;
Hae Young KIM
;
Jae Hong PARK
Author Information
1. Postgraduate School of Medicine, Pusan National University, Busan, Korea.
- Publication Type:Case Report
- Keywords:
Sigmoid volvulus;
Child
- MeSH:
Abdominal Pain;
Barium;
Child;
Colectomy;
Colon;
Colon, Sigmoid;
Enema;
Follow-Up Studies;
Humans;
Intestinal Volvulus;
Mesentery;
Vomiting
- From:Korean Journal of Pediatric Gastroenterology and Nutrition
2010;13(2):199-203
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Sigmoid volvulus may cause acute or subacute colonic obstruction. Excessive length of the sigmoid colon may be a contributing factor. Typically, the patient develops bilious vomiting and marked gaseous abdominal distension. We report a case of sigmoid volvulus in a 9-year-old boy who presented with recurrent, sudden onset abdominal pain, abdominal distension, and vomiting for 1 year, which was diagnosed by simple abdominal X-ray, barium enema, computed tomography, and colonoscopic examination. Colonoscopic reduction failed and a sigmoid colectomy with primary repair was performed. The intra-operative findings showed that the sigmoid colon was noted to be dilated, and redundant with a lax mesentery. Two clear areas of compression (proximal and distal) were present. After sigmoidectomy, the symptoms resolved. After 5 years of follow-up, he had no new symptoms.
