Minimal access surgery for sigmoid volvulus in children.

Area of Science:

• Pediatric Surgery
• Gastrointestinal Surgery

Background:

• Sigmoid volvulus is a rare cause of large-bowel obstruction in children.
• Prompt diagnosis and management are crucial to prevent complications.

Observation:

• A 12-year-old boy presented with symptoms of large-bowel obstruction.
• Imaging confirmed sigmoid volvulus as the cause.

Findings:

• Initial management involved rectal tube decompression for temporary relief.
• An elective laparoscopic-assisted sigmoid colectomy was successfully performed.
• The patient experienced an uneventful postoperative recovery.

Implications:

• Laparoscopic-assisted sigmoid colectomy appears to be a safe and effective option for pediatric sigmoid volvulus.
• This approach may offer advantages over traditional open surgery in select pediatric cases.
• Long-term follow-up confirmed no recurrence, supporting the durability of the surgical intervention.