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http://dx.doi.org/10.5223/kjpgn.2010.13.2.199

A Case of Sigmoid Volvulus in a Child  

Lee, Dong-Han (Postgraduate School of Medicine, Pusan National University)
We, Ju-Hee (Department of Pediatrics, Pusan National University)
Park, Hyun-Seok (Department of Pediatrics, Pusan National University)
Kim, Hae-Young (Department of Surgery, Pusan National University)
Park, Jae-Hong (Department of Pediatrics, Pusan National University)
Publication Information
Pediatric Gastroenterology, Hepatology & Nutrition / v.13, no.2, 2010 , pp. 199-203 More about this Journal
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.
Keywords
Sigmoid volvulus; Child;
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Times Cited By KSCI : 1  (Citation Analysis)
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