|
KMID : 0816120100130020199
|
|
Korean Journal of Pediatric Gastroenterolology and Nutrition
2010 Volume.13 No. 2 p.199 ~ p.203
|
|
|
A Case of Sigmoid Volvulus in a Child
|
|
Lee Dong-Han
We Ju-Hee
Park Hyun-Seok
Kim Hae-Young
Park Jae-Hong
|
|
|
Abstract
|
|
|
|
Sigmoid volvulus may cause acute or subacute colonic obstruction. Excessive length of the sigmoid colon may be a contributing factor. Typically, the patient develops bilious vomiting and marked gaseous abdominal distension. We report a case of sigmoid volvulus in a 9-year-old boy who presented with recurrent, sudden onset abdominal pain, abdominal distension, and vomiting for 1 year, which was diagnosed by simple abdominal X-ray, barium enema, computed tomography, and colonoscopic examination. Colonoscopic reduction failed and a sigmoid colectomy with primary repair was performed. The intra-operative findings showed that the sigmoid colon was noted to be dilated, and redundant with a lax mesentery. Two clear areas of compression (proximal and distal) were present. After sigmoidectomy, the symptoms resolved. After 5 years of follow-up, he had no new symptoms.
|
|
|
KEYWORD
|
|
|
Sigmoid volvulus, Child
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|
|