Hirschsprung's Diseases Complicated by Sigmoid Volvulus: A Systematic Review

Comments on “Hirschsprung’s Disease Complicated by Sigmoid Volvulus: A Systematic Review”

“…I read with great interest the article titled “Hirschsprung’s disease complicated by sigmoid volvulus: A systematic review” written by Uylas et al, 1 who evaluated 31 cases with sigmoid volvulus complicating Hirschsprung’s disease in 22 papers. sigmoid volvulus is a rare clinical entity worldwide; nevertheless, it is relatively common in eastern Anatolia, my practicing area.…”

Colonic Volvulus in Children: Surgical Management of a Challenging Condition

“…This finding may be attributable to the fact that patients with neurological impairment may be on ketogenic diets with lower intake of water and fiber, with often concurrent use of anticonvulsants, opioids and antispasmodic medications. HD may be a risk factor for CV and requires biopsy screening [18,27]. In general, it seems that a chronically distended colon leads to elongation of the mesentery and to an altered colonic motility.…”

“…The etiology of CV remains unclear. Several risk factors have been proposed, including differences of local anatomy (e.g., elongated mesentery with narrow attachment, excessive mobilization of colonic segments), Hirschsprung's disease (HD), omphalomesenteric abnormalities, intestinal malrotation, anal stenosis, chronic constipation, surgical adhesions, prune belly syndrome and developmental delay [7,8,[14][15][16][17][18][19]. In particular, HD is associated with CV in 17% of cases, representing a significant risk factor [7,18,19].…”

Sigmoid volvulus; a rare complicated presentation of Hirschsprung's disease: A case report

“…SV is a rare serious complication of HD. A recent review of the literature found only 31 cases of colonic volvulus in patients with HD [5] . Unrecognized SV is a serious life-threatening condition, so it should be considered in children with acute or recurrent abdominal pain, distension, constipation and vomiting as early recognition and management of volvulus is essential to decrease morbidity [9] .…”

“…To the best of our knowledge, there are only 31 cases have been reported in the English literature [5] . The work has been reported in line with the SCARE criteria [6] .…”