Litcius/Paper detail

Sigmoid volvulus in children

Merete Berthu Damkjær, Waqas Farooqui, Inge Ifaoui, Luit Penninga

2021BMJ Case Reports14 citationsDOIOpen Access PDF

Abstract

Sigmoid volvulus in paediatric patients is a rare but potentially life-threatening condition. Since 1940, only 100 cases have been reported. There are no consensual guidelines for juvenile sigmoid volvulus unlike in adults, where the condition and the treatment is well described. We report a case of a 12-year-old patient, who presented with uncharacteristic symptoms of mild abdominal discomfort and lack of passage of stool. A CT-scan showed a sigmoid volvulus and emergency resection was performed with placement of a colostomy. With this case, we want to emphasise juvenile sigmoid volvulus as a probable differential diagnosis when symptoms of abdominal distress and constipation occur.

Topics & Concepts

Sigmoid volvulusMedicineVolvulusConstipationColostomySigmoid functionDistressDifferential diagnosisSigmoid colonSurgeryGeneral surgeryRectumPathologyArtificial neural networkComputer scienceClinical psychologyMachine learningIntestinal Malrotation and Obstruction DisordersPediatric Hepatobiliary Diseases and TreatmentsGastrointestinal disorders and treatments