Sigmoid Volvulus in Children: Diagnosis and Therapeutic Challenge

Area of Science:

• Pediatric Gastroenterology
• Surgical Gastroenterology

Background:

• Sigmoid volvulus is an uncommon cause of bowel obstruction in pediatric patients.
• Early diagnosis is crucial for effective non-operative management in emergency settings.
• Recurrence of sigmoid volvulus poses a significant risk, often requiring surgical intervention.

Observation:

• A case study involving a healthy 16-year-old female with recurrent sigmoid volvulus is presented.
• The patient experienced multiple episodes of sigmoid volvulus.
• The clinical presentation highlighted the challenges in managing recurrent cases.

Findings:

• Successful endoscopic detorsion of the sigmoid colon was achieved.
• The endoscopic approach provided immediate relief from acute symptoms.
• Subsequent elective surgery was performed to mitigate the risk of future recurrence.

Implications:

• Endoscopic detorsion can be a viable initial treatment for select pediatric sigmoid volvulus cases.
• This approach may stabilize patients for subsequent definitive surgical management.
• A combined endoscopic and surgical strategy can improve outcomes for recurrent sigmoid volvulus.