AI Article Synopsis
- Sigmoid volvulus is a rare bowel obstruction in kids that can be misdiagnosed, delaying treatment and causing complications.
- In adults, it's a common issue, but there’s little research on how to treat it in children, leading to the use of adult protocols for pediatric care.
- A 15-year-old boy had recurring sigmoid volvulus, but after imaging and studies showed no serious damage, he was treated successfully with a combination of colonoscopic decompression and laparoscopic sigmoidectomy, highlighting the need for prompt diagnosis and treatment in young patients.
Article Abstract
Sigmoid volvulus is a rare etiology of bowel obstruction in the pediatric population that can be easily misdiagnosed, leading to delayed treatment and potential complications. Given that sigmoid volvulus is a common cause of bowel obstruction in the adult population and the significant lack of literature on its management in children, treatment strategies for pediatric patients often follow standardized protocols for adults. We report the case of a 15-year-old boy who presented with recurrent episodes of sigmoid volvulus over a 1-month period. Computed tomography demonstrated a sigmoid volvulus without evidence of ischemia or bowel infarction. Colonoscopy demonstrated a descending megacolon, and bowel transit studies demonstrated normal transit time. Acute episodes were managed conservatively with colonoscopic decompression. After a complete study, laparoscopic sigmoidectomy was performed. This work demonstrates the importance of early recognition and treatment of sigmoid volvulus in the pediatric population to limit recurrent episodes.
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| http://dx.doi.org/10.1177/00031348231160843 | DOI Listing |
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