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Sigmoid volvulus in children and adolescents

S Salas1, C A Angel, N Salas

  • 1Department of Radiology, The University of Texas Medical Branch, Galveston 77555, USA.

Journal of the American College of Surgeons
|June 29, 2000
PubMed

Insights

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.
Abstract

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