Sigmoid volvulus in a child with Autism Spectrum Disorder

Sigmoid volvulus is an uncommon cause of abdominal pain and obstruction in the pediatric population, with most physicians not considering it in the differential diagnosis. History of Autism Spectrum Disorder (ASD) with concomitant volvulus of the sigmoid colon is a rare occurrence that presents with...

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Autores principales:	Luis Alamo Irizarry, Victor Ortiz Justiniano
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Sigmoid volvulus Children Sigmoidectomy Abdominal distention Autism spectrum disorder Inverted U sign Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/fef5dc1ced014ac2bd2a3352613593cd
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spelling	oai:doaj.org-article:fef5dc1ced014ac2bd2a3352613593cd2021-11-14T04:32:46ZSigmoid volvulus in a child with Autism Spectrum Disorder2213-576610.1016/j.epsc.2021.102065https://doaj.org/article/fef5dc1ced014ac2bd2a3352613593cd2022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2213576621002864https://doaj.org/toc/2213-5766Sigmoid volvulus is an uncommon cause of abdominal pain and obstruction in the pediatric population, with most physicians not considering it in the differential diagnosis. History of Autism Spectrum Disorder (ASD) with concomitant volvulus of the sigmoid colon is a rare occurrence that presents with communication challenges that can impair diagnosis and treatment. This is the case of a 10-year-old male patient with ASD who presented with abdominal pain, obstipation, and vomiting. Plain abdominal radiograph showed an intestinal obstructive pattern subjective for sigmoid volvulus. The patient was successfully decompressed with a nasogastric and rectal tube and underwent an open sigmoidectomy with end-to-end coloproctostomy during the same admission. Communication impairment made it difficult to assess subjective parameters such as pain, and nausea. On post-operative day #8 extensive pneumoperitoneum was observed on a chest radiograph and the patient was taken for emergency laparotomy that resulted in a partial colectomy with end colostomy. Sigmoid volvulus is an exceptionally rare occurrence in the pediatric population. High suspicion should be kept for prompt diagnosis and treatment in patients with ASD. Particular attention to objective information such as physical examination, vital signs, laboratories, and imaging studies should be maintained since communication is usually impaired.Luis Alamo IrizarryVictor Ortiz JustinianoElsevierarticleSigmoid volvulusChildrenSigmoidectomyAbdominal distentionAutism spectrum disorderInverted U signPediatricsRJ1-570SurgeryRD1-811ENJournal of Pediatric Surgery Case Reports, Vol 76, Iss , Pp 102065- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sigmoid volvulus Children Sigmoidectomy Abdominal distention Autism spectrum disorder Inverted U sign Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	Sigmoid volvulus Children Sigmoidectomy Abdominal distention Autism spectrum disorder Inverted U sign Pediatrics RJ1-570 Surgery RD1-811 Luis Alamo Irizarry Victor Ortiz Justiniano Sigmoid volvulus in a child with Autism Spectrum Disorder
description	Sigmoid volvulus is an uncommon cause of abdominal pain and obstruction in the pediatric population, with most physicians not considering it in the differential diagnosis. History of Autism Spectrum Disorder (ASD) with concomitant volvulus of the sigmoid colon is a rare occurrence that presents with communication challenges that can impair diagnosis and treatment. This is the case of a 10-year-old male patient with ASD who presented with abdominal pain, obstipation, and vomiting. Plain abdominal radiograph showed an intestinal obstructive pattern subjective for sigmoid volvulus. The patient was successfully decompressed with a nasogastric and rectal tube and underwent an open sigmoidectomy with end-to-end coloproctostomy during the same admission. Communication impairment made it difficult to assess subjective parameters such as pain, and nausea. On post-operative day #8 extensive pneumoperitoneum was observed on a chest radiograph and the patient was taken for emergency laparotomy that resulted in a partial colectomy with end colostomy. Sigmoid volvulus is an exceptionally rare occurrence in the pediatric population. High suspicion should be kept for prompt diagnosis and treatment in patients with ASD. Particular attention to objective information such as physical examination, vital signs, laboratories, and imaging studies should be maintained since communication is usually impaired.
format	article
author	Luis Alamo Irizarry Victor Ortiz Justiniano
author_facet	Luis Alamo Irizarry Victor Ortiz Justiniano
author_sort	Luis Alamo Irizarry
title	Sigmoid volvulus in a child with Autism Spectrum Disorder
title_short	Sigmoid volvulus in a child with Autism Spectrum Disorder
title_full	Sigmoid volvulus in a child with Autism Spectrum Disorder
title_fullStr	Sigmoid volvulus in a child with Autism Spectrum Disorder
title_full_unstemmed	Sigmoid volvulus in a child with Autism Spectrum Disorder
title_sort	sigmoid volvulus in a child with autism spectrum disorder
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/fef5dc1ced014ac2bd2a3352613593cd
work_keys_str_mv	AT luisalamoirizarry sigmoidvolvulusinachildwithautismspectrumdisorder AT victorortizjustiniano sigmoidvolvulusinachildwithautismspectrumdisorder
_version_	1718429995951456256

Sigmoid volvulus in a child with Autism Spectrum Disorder

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