Related Experiment Video

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Diagnosis of Hirschsprung's Disease by Immunostaining Rectal Suction Biopsies for Calretinin, S100 Protein and Protein Gene Product 9.5
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Sigmoid volvulus: an uncommon complication of Hirschsprung's disease

Abhishek Ranjan1, Vishesh Jain1, Shilpa Sharma1

  • 1Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, Delhi, India.

BMJ Case Reports
|May 28, 2016
PubMed

Insights

Sigmoid volvulus in children, often linked to Hirschsprung's disease (HD), requires prompt recognition. This case demonstrates successful surgical management of pediatric sigmoid volvulus with a primary pull-through procedure.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Colorectal Surgery

Background:

  • Sigmoid volvulus is uncommon in children but frequently co-occurs with Hirschsprung's disease (HD).
  • Early diagnosis and management are crucial due to the condition's potentially life-threatening nature.

Observation:

  • An 11-year-old boy presented with chronic constipation and acute severe abdominal pain and distention.
  • Clinical suspicion led to the detection of sigmoid volvulus.

Findings:

  • The patient underwent successful surgical management involving sigmoid colon resection.
  • A primary Scott Boley's pull-through procedure was successfully performed.

Implications:

  • Highlights the importance of considering sigmoid volvulus in pediatric patients with relevant symptoms.
  • Suggests that primary definitive surgical procedures are feasible in select pediatric cases of sigmoid volvulus.

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