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Related Experiment Videos

Sigmoid volvulus in a young patient.

E S Cook, E J Allison

    Annals of Emergency Medicine
    |October 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    An 18-year-old man experienced recurrent abdominal pain due to sigmoid volvulus, initially treated with a barium enema. Subsequent episodes resolved spontaneously, with no further symptoms for two years.

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    Area of Science:

    • Gastroenterology
    • Abdominal Surgery

    Background:

    • Sigmoid volvulus is a rare cause of bowel obstruction, particularly in younger individuals.
    • Recurrent sigmoid volvulus presents diagnostic challenges, especially when initial imaging is negative.

    Observation:

    • An 18-year-old male presented with recurrent, self-limiting left lower quadrant abdominal pain over four months.
    • Initial presentation included clinical signs of sigmoid volvulus, confirmed by imaging and reduced via barium enema.

    Findings:

    • Despite identical symptoms on two subsequent visits, repeat radiologic studies showed no evidence of recurrent sigmoid volvulus.
    • The patient remained asymptomatic for two years post-initial presentation and treatment.

    Implications:

    Related Experiment Videos

  • This case highlights the potential for transient or intermittent sigmoid volvulus that may not be consistently detected on imaging.
  • It underscores the importance of clinical suspicion in diagnosing recurrent sigmoid volvulus, even with negative serial imaging.
  • Conservative management or watchful waiting may be considered in select cases of suspected intermittent sigmoid volvulus.