Sigmoid volvulus in children

Abstract

Sigmoid volvulus in paediatric patients is a rare but potentially life-threatening condition. Since 1940, only 100 cases have been reported. There are no consensual guidelines for juvenile sigmoid volvulus unlike in adults, where the condition and the treatment is well described. We report a case of a 12-year-old patient, who presented with uncharacteristic symptoms of mild abdominal discomfort and lack of passage of stool. A CT-scan showed a sigmoid volvulus and emergency resection was performed with placement of a colostomy. With this case, we want to emphasise juvenile sigmoid volvulus as a probable differential diagnosis when symptoms of abdominal distress and constipation occur.

Keywords: congenital disorders; gastrointestinal surgery; paediatric surgery.

Figure 1

CT scan of the abdomen showing the ‘swirl sign’ (red arrow) in the sigmoid colon.

Figure 2

Intraoperative finding of the sigmoid colon with a 360° torsion and subsequent distention measuring 15 cm at the widest part.