Sigmoid Volvulus in Children: Diagnosis and Therapeutic Challenge

Sigmoid volvulus in children: a case report

BACKGROUND Sigmoid volvulus is frequently reported in the "volvulus belt" (Middle East, Africa, the Indian subcontinent, Turkey, and South America) and is the third leading cause of large bowel obstruction in North America. It is an uncommon problem in children and adolescents, and is rarely considered a diagnosis in this group. A high index of suspicion is necessary to diagnose sigmoid volvulu...

Recurrent sigmoid volvulus in young people: a missed diagnosis.

In nine young patients with recurrent attacks of sigmoid volvulus there was a long delay before a correct diagnosis was made, yet volvulus was indicated in most of them by a well-taken history. All were treated successfully by excision of the redundant colon. This condition is not as uncommon in young people as was thought.

Classification of Sigmoid Volvulus

Management of Sigmoid Volvulus Avoiding Sigmoid Resection

Acute sigmoid volvulus is typically caused by an excessively mobile and redundant segment of colon with a stretched mesenteric pedicle. When this segment twists on its pedicle, the result can be obstruction, ischemia and perforation. A healthy, 18-year-old Caucasian woman presented to the emergency department complaining of cramping abdominal pain, distention, constipation and obstipation for t...

Volvulus of the Sigmoid

Volvulus is possible in any portion of the intestinal tract from the stomach to the sigmoid colon. Thus volvulus of the stomach, due to gastroptosis, an hour-glass contraction or certain kinds of injury, although extremely rare, is known. Volvulus of Meckel's diverticulum when it is persistent is recorded. Similarly volvulus of the small intestines, the ileo-csGcal junction or even of the csecu...