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Volvulus of the sigmoid colon in paediatric patients: report of two cases
1Department of Surgery, College of Health Sciences, Nnamdi Azikiwe University, Nnewi, Anambra State, Nigeria.
The Central African Journal of Medicine
|April 1, 1992
Insights
Sigmoid colon volvulus is rare in children but presents similarly to adults. Heightened awareness aids diagnosis, which can be confirmed via laparotomy.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Abdominal Surgery
Background:
- Sigmoid colon volvulus, a rare condition in pediatric patients, involves the twisting of the sigmoid colon.
- Understanding its presentation in children is crucial for timely diagnosis and management.
Observation:
- Two pediatric cases of sigmoid colon volvulus were reviewed.
- Clinical presentation in children mirrors that observed in adult patients.
Findings:
- Diagnosis was confirmed intraoperatively via laparotomy in one case.
- Increased clinical awareness led to a diagnosis in the second pediatric patient.
- The condition's rarity in childhood underscores the need for vigilance.
Implications:
- Heightened awareness of sigmoid colon volvulus in pediatric populations is essential.
- Early diagnosis and intervention can improve outcomes for children with this condition.
- Further research into pediatric sigmoid volvulus may elucidate specific diagnostic or management strategies.
Abstract:
Two cases of volvulus of the sigmoid colon in paediatric patients are presented. The condition is rare in childhood. The diagnosis was established at laparotomy in the first case while the second case was diagnosed because of heightened awareness. The clinical features of the disease are essentially as in adults.