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Sigmoid volvulus in children and adolescents
1Department of Radiology, The University of Texas Medical Branch, Galveston 77555, USA.
Journal of the American College of Surgeons
|June 29, 2000
Summary
Sigmoid volvulus is a rare but serious condition in children. Early diagnosis and treatment are crucial for better outcomes, especially considering associated conditions like Hirschsprung's disease.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Sigmoid volvulus is a rare, life-threatening condition in children.
- This study reviews 63 pediatric cases since 1940.
Observation:
- Median age was 7 years, with a 3.5:1 male to female ratio.
- Abdominal pain was the primary symptom, with acute and recurrent presentations.
- Barium enema was diagnostic, and reduction was successful in 77% of attempts.
Findings:
- Operative treatment was common, with sigmoidectomy being the most frequent procedure.
- Overall mortality was 6%, with higher rates in neonates (14%).
- Hirschsprung's disease was noted in 11% of cases.
Implications:
- Sigmoid volvulus should be considered in pediatric differential diagnoses for colonic distention.
- An effective treatment algorithm is proposed for this rare pediatric condition.
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