Volvulus of the sigmoid colon in a child

Ghassan Al-Kouder1, Akhtar Nawaz, Cirus Gerami

  • 1Division of Pediatric Surgery, Department of Surgery, Tawam Hospital, Al Ain, Abu Dhabi, United Arab Emirates.

Saudi Medical Journal
|June 19, 2002
PubMed

Insights

Sigmoid volvulus is rare in children, but this case highlights its occurrence in a 10-year-old with neurological and muscular conditions. The study reviews predisposing factors for pediatric sigmoid volvulus.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Colorectal Surgery

Background:

  • Sigmoid volvulus, a common cause of large bowel obstruction in the elderly, is infrequently encountered in pediatric populations.
  • Understanding pediatric sigmoid volvulus is crucial due to its rarity and potential for severe complications.

Observation:

  • A case of sigmoid volvulus is presented in a 10-year-old child.
  • The child had co-existing conditions of mental retardation and myopathy, which may be predisposing factors.

Findings:

  • This case underscores that sigmoid volvulus can occur in children, even those with underlying neurological and neuromuscular disorders.
  • Discussion of predisposing factors specific to pediatric sigmoid volvulus is included.

Implications:

  • Highlights the need for considering sigmoid volvulus in the differential diagnosis of bowel obstruction in children, particularly those with specific comorbidities.
  • Contributes to the limited literature on pediatric sigmoid volvulus, aiding future diagnosis and management strategies.

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