A Case of Sigmoid Volvulus in a Child / 대한소아소화기영양학회지
Korean Journal of Pediatric Gastroenterology and Nutrition
;
: 199-203, 2010.
Article
in Korean
| WPRIM
| ID: wpr-130976
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Colon, Sigmoid
/
Barium
/
Vomiting
/
Abdominal Pain
/
Follow-Up Studies
/
Colectomy
/
Colon
/
Intestinal Volvulus
/
Enema
/
Mesentery
Type of study:
Observational study
/
Prognostic study
Limits:
Child
/
Humans
Language:
Korean
Journal:
Korean Journal of Pediatric Gastroenterology and Nutrition
Year:
2010
Type:
Article
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