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[Sigmoid volvulus in children. About 6 cases (author's transl)]
Chirurgie Pediatrique
|March 1, 1982
Insights
Sigmoid volvulus is a rare cause of large bowel obstruction in children, often linked to neurological disorders or Hirschsprung disease. Diagnosis typically involves a barium enema, with emergency surgery involving resection and derivation.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Colorectal Surgery
Background:
- Sigmoid volvulus is an uncommon cause of large bowel obstruction in pediatric patients.
- It is frequently associated with underlying congenital anomalies or neurological conditions.
Purpose of the Study:
- To highlight the rarity and clinical presentation of sigmoid volvulus in children.
- To review diagnostic modalities and surgical management strategies.
Main Methods:
- Retrospective review of pediatric cases with sigmoid volvulus.
- Diagnostic imaging, primarily barium enema, was analyzed.
- Surgical interventions and outcomes were assessed.
Main Results:
- Six pediatric cases of sigmoid volvulus were identified.
- Two cases occurred in neonates, and four were associated with other pathologies (neurologic disorders and Hirschsprung disease).
- Barium enema was the primary diagnostic tool.
Conclusions:
- Sigmoid volvulus is a rare but significant cause of pediatric large bowel obstruction.
- Prompt diagnosis via barium enema and emergency surgical intervention (resection and derivation) are crucial for favorable outcomes.
Abstract:
About six of sigmoid volvulus m children, the authors underline the rarity of this etiology in large bowel obstruction. Two cases happened during neonate and four cases are associated with other pathologic diseases (2 neurologic ans 2 Hirschsprung diseases). Diagnosis is based on baryum enema and the best surgical management in emergency is resection and derivation with secondary anastomosis.