Sigmoid volvulus in a teenager, successfully managed with endoscopic detorsion: An unusual case report and review of the literature

Esmat, Habib Ahmad

doi:10.1016/j.ijscr.2020.11.152

Cited by 5 publications

(2 citation statements)

References 14 publications

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“…Once the diagnosis is made, some authors proceed straight to exploratory laparotomy with bowel resection, whereas others recommend initial endoscopic detorsion if there are no signs of bowel compromise [ 4 , 5 ]. Patients who have only had detorsion tend to have a high recurrence rate, up to 31% [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Sigmoid volvulus in a 14-year-old male mimicking acute gastroenteritis

Senanayake

McEwen

Naidoo

et al. 2023

Journal of Surgical Case Reports

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Sigmoid volvulus is a rare but life-threatening diagnosis in the paediatric population and has only been reported a handful of times in the literature. We describe the case of a 14-year-old boy with abdominal pain and diarrhoea who was diagnosed with a sigmoid volvulus after initially being managed for infectious gastroenteritis. The patient initially presented with a 5-day history of watery stool, 1-day history of profuse vomiting and colicky abdominal pain. Whilst admitted, the patient developed worsening abdominal pain, distention and hyperresonance to percussion. Computed tomography demonstrated a dilated sigmoid colon, with a mesenteric ‘whirl sign’ around the inferior mesenteric artery. The patient underwent a laparotomy, which confirmed a sigmoid volvulus, requiring an anterior resection. This case emphasises the importance for general surgeons to consider the rare diagnosis of sigmoid volvulus in children.

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Section: Discussionmentioning

confidence: 99%

Sigmoid volvulus in a 14-year-old male mimicking acute gastroenteritis

Senanayake

McEwen

Naidoo

et al. 2023

Journal of Surgical Case Reports

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“…Sigmoidectomy with either primary anastomosis or colostomy. At this time, there are no reports of recurrence of sigmoid volvulus when sigmoidectomy is performed [6]. After discussion with the surgeon and patients' family and shared decision making, family opted to undergo sigmoidectomy with primary anastomosis in order to avoid colostomy placement [7].…”

Section: Hospital Coursementioning

confidence: 99%

Adolescent Female with Acute-onset Abdominal Pain

Rashidzada,

Guevarra,

Muntean

2024

IJMPCR

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Background: Sigmoid volvulus is a more common cause of abdominal pain in geriatric patients. It is an uncommon cause for a pediatric patient, especially when dealing with an adolescent patient. Here we discuss an uncommon presentation of sigmoid volvulus. Case Description: A 14-year-old female presents with sudden-onset abdominal pain found to have sigmoid volvulus on CT imaging. She eventually underwent sigmoidoscopy for reduction and was monitored for 24 hours post-procedure. Conclusion: This case demonstrates the importance of having a high index of suspicion when a patient presents with volvulus, especially with adolescence. Although rare, it should always be on the differential due to its high rate of mortality if diagnosed late.

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Endoscopic decompression of sigmoid volvulus in an adolescent

Nie

Sha

2023

Asian Journal of Surgery

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Sigmoid volvulus in a teenager, successfully managed with endoscopic detorsion: An unusual case report and review of the literature

Cited by 5 publications

References 14 publications

Sigmoid volvulus in a 14-year-old male mimicking acute gastroenteritis

Sigmoid volvulus in a 14-year-old male mimicking acute gastroenteritis

Adolescent Female with Acute-onset Abdominal Pain

Endoscopic decompression of sigmoid volvulus in an adolescent

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