Sigmoid colon volvulus in children: review of 19 cases

Pediatric Surgery International
S Selçuk AtamanalpIsmayil Yilmaz

Abstract

The records of 19 patients with sigmoid colon volvulus (SCV) who were treated surgically in a 36.5-year-period were reviewed. Seven of them (37 %) had ileosigmoidal knotting (ISK). The age range was between 10 weeks and 17 years (mean 10 years), and 17 patients (90%) were male. In two cases (11%) there was previous SCV history. The mean symptom duration was 57 h (range 24-96), and three patients (16%) were in shock. The main symptoms were abdominal pain (90%), distention (79%), vomiting (74%), and obstipation (58%), and the main signs were abdominal tenderness (90%), distention (79%), absence of stool in the rectum and hypo- or akinetic bowel sounds (58%), muscular rigidity (53%), hyperkinetic bowel sounds (32%), and melanotic stool in the rectum (21%). The torsion was found in a clockwise direction in 47%, and the torsion degree was 360 in 42%. In four patients (21%) there was no gangrene (one with ISK), whereas in 15 (79%) sigmoid colon was gangrenous (six with ISK, in whom small bowel was also gangrenous). In nongangrenous cases, detorsion (11%) or sigmoidopexy (11%) was performed. In gangrenous cases, gangrenous sigmoid colon was resected, and Hartmann's procedure (74%) or primary anastomosis (5%) was performed. In those wi...Continue Reading

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Citations

Dec 12, 2012·Techniques in Coloproctology·S S Atamanalp
Dec 16, 2006·World Journal of Surgery·S Selçuk AtamanalpBedii Salman
Jan 16, 2008·World Journal of Surgery·Hussein A HeisMohammed S Obeidallah
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Jan 28, 2015·European Journal of Pediatrics·Stéphanie ColinetUNKNOWN French-speaking Pediatric Hepatology Gastroenterology and Nutrition Group (GFHGNP)
Mar 17, 2015·World Journal of Emergency Surgery : WJES·Phillipo L Chalya, Joseph B Mabula
Apr 23, 2015·Iranian Journal of Radiology : a Quarterly Journal Published by the Iranian Radiological Society·Shailesh Mukund PrabhuAlok Kumar Udiya
May 5, 2017·Journal of Paediatrics and Child Health·Ilse Van HorebeekPeter Witters
Feb 1, 2018·Medicine·Po-Hsiung ChangLung-Huang Lin
Oct 5, 2010·Journal of Pediatric Gastroenterology and Nutrition·Yaron ArmonDan Arbell
May 26, 2009·Journal of Pediatric Gastroenterology and Nutrition·Muhammad A AltafManu R Sood
Feb 20, 2020·International Journal of Colorectal Disease·Eui Myung KimJong Wan Kim
Apr 11, 2020·Clinical Case Reports·Ali PooriaAfsoun Pourya
Feb 16, 2021·Pediatric Emergency Care·Sabri Selcuk Atamanalp
Apr 26, 2021·Asian Journal of Surgery·Trigui EmnaSaad Sarra
May 14, 2021·BMJ Case Reports·Merete Berthu DamkjaerLuit Penninga

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