Sigmoid volvulus in a teenager

Background: In pediatric surgical practice, volvulus of the sigmoid volvulus remains a rare cause of intestinal obstruction and this diagnosis is seldom considered in children. Case presentation: We present a 14-year old male who came with a 2-day history of abdominal pain, vomiting and abdominal di...

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Autor principal:	Chukwubuike Kevin Emeka
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Child Intestinal obstruction Rare Sigmoid volvulus Sigmoidectomy Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/c2a2a6abdb9445b5a2210ac529ed1554
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spelling	oai:doaj.org-article:c2a2a6abdb9445b5a2210ac529ed15542021-11-10T04:26:23ZSigmoid volvulus in a teenager2213-576610.1016/j.epsc.2021.102119https://doaj.org/article/c2a2a6abdb9445b5a2210ac529ed15542022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2213576621003407https://doaj.org/toc/2213-5766Background: In pediatric surgical practice, volvulus of the sigmoid volvulus remains a rare cause of intestinal obstruction and this diagnosis is seldom considered in children. Case presentation: We present a 14-year old male who came with a 2-day history of abdominal pain, vomiting and abdominal distension. Plain abdominal x ray showed features of sigmoid volvulus (coffee bean sign). Non-operative decompression was not performed. He was optimized and had sigmoidectomy with primary anastomosis. The post-operative period was essentially uneventful except for the delayed resolution of the post-op paralytic ileus. He was discharged home on the 12th day post-operatively and is currently being followed up in the clinic. Conclusion: Sigmoid volvulus is an uncommon problem in children. A high index of suspicion is required to make a diagnosis because delays in diagnosis can be associated with morbidity and mortality.Chukwubuike Kevin EmekaElsevierarticleChildIntestinal obstructionRareSigmoid volvulusSigmoidectomyPediatricsRJ1-570SurgeryRD1-811ENJournal of Pediatric Surgery Case Reports, Vol 76, Iss , Pp 102119- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Child Intestinal obstruction Rare Sigmoid volvulus Sigmoidectomy Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	Child Intestinal obstruction Rare Sigmoid volvulus Sigmoidectomy Pediatrics RJ1-570 Surgery RD1-811 Chukwubuike Kevin Emeka Sigmoid volvulus in a teenager
description	Background: In pediatric surgical practice, volvulus of the sigmoid volvulus remains a rare cause of intestinal obstruction and this diagnosis is seldom considered in children. Case presentation: We present a 14-year old male who came with a 2-day history of abdominal pain, vomiting and abdominal distension. Plain abdominal x ray showed features of sigmoid volvulus (coffee bean sign). Non-operative decompression was not performed. He was optimized and had sigmoidectomy with primary anastomosis. The post-operative period was essentially uneventful except for the delayed resolution of the post-op paralytic ileus. He was discharged home on the 12th day post-operatively and is currently being followed up in the clinic. Conclusion: Sigmoid volvulus is an uncommon problem in children. A high index of suspicion is required to make a diagnosis because delays in diagnosis can be associated with morbidity and mortality.
format	article
author	Chukwubuike Kevin Emeka
author_facet	Chukwubuike Kevin Emeka
author_sort	Chukwubuike Kevin Emeka
title	Sigmoid volvulus in a teenager
title_short	Sigmoid volvulus in a teenager
title_full	Sigmoid volvulus in a teenager
title_fullStr	Sigmoid volvulus in a teenager
title_full_unstemmed	Sigmoid volvulus in a teenager
title_sort	sigmoid volvulus in a teenager
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/c2a2a6abdb9445b5a2210ac529ed1554
work_keys_str_mv	AT chukwubuikekevinemeka sigmoidvolvulusinateenager
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Sigmoid volvulus in a teenager

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