Sigmoid volvulus and ileosigmoid knotting in children
Six children with acute intestinal obstruction from sigmoid volvulus (SV) (n=2) and ileosigmoid knotting (ISK) (n=4) are reported. The median age at presentation was 4.5 years (range 2 weeks-15 years). Abdominal pain, distention, vomiting, and constipation were the main features. Two patients with I...
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| Veröffentlicht in: | Pediatric surgery international 2001-11, Vol.17 (8), p.636-637 |
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| creator | CHIRDAN, Lohfa B AMEH, Emmanuel A |
| description | Six children with acute intestinal obstruction from sigmoid volvulus (SV) (n=2) and ileosigmoid knotting (ISK) (n=4) are reported. The median age at presentation was 4.5 years (range 2 weeks-15 years). Abdominal pain, distention, vomiting, and constipation were the main features. Two patients with ISK had bowel gangrene. In three children there was no identifiable cause; two had a narrow attachment of the sigmoid mesocolon with redundant colon and one had adhesive bands. Treatment was by resection and colostomy in five cases and derotation of the torted colon in one. One child with SV died following a wound infection. There was no recurrence. SV and ISK are uncommon in children. There are usually no features specific for these conditions, and the diagnosis is established at laparotomy. The prognosis is good when there is aggressive resuscitation and prompt surgery. |
| doi_str_mv | 10.1007/s003830100010 |
| format | Article |
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The median age at presentation was 4.5 years (range 2 weeks-15 years). Abdominal pain, distention, vomiting, and constipation were the main features. Two patients with ISK had bowel gangrene. In three children there was no identifiable cause; two had a narrow attachment of the sigmoid mesocolon with redundant colon and one had adhesive bands. Treatment was by resection and colostomy in five cases and derotation of the torted colon in one. One child with SV died following a wound infection. There was no recurrence. SV and ISK are uncommon in children. There are usually no features specific for these conditions, and the diagnosis is established at laparotomy. The prognosis is good when there is aggressive resuscitation and prompt surgery.</description><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s003830100010</identifier><identifier>PMID: 11727056</identifier><identifier>CODEN: PSUIED</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Adolescent ; Biological and medical sciences ; Child ; Child, Preschool ; Colectomy ; Colostomy ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Infant ; Infant, Newborn ; Intestinal Obstruction - surgery ; Male ; Medical sciences ; Other diseases. Semiology ; Sigmoid Diseases - surgery ; Stomach. Duodenum. Small intestine. Colon. Rectum. 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The median age at presentation was 4.5 years (range 2 weeks-15 years). Abdominal pain, distention, vomiting, and constipation were the main features. Two patients with ISK had bowel gangrene. In three children there was no identifiable cause; two had a narrow attachment of the sigmoid mesocolon with redundant colon and one had adhesive bands. Treatment was by resection and colostomy in five cases and derotation of the torted colon in one. One child with SV died following a wound infection. There was no recurrence. SV and ISK are uncommon in children. There are usually no features specific for these conditions, and the diagnosis is established at laparotomy. The prognosis is good when there is aggressive resuscitation and prompt surgery.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Colectomy</subject><subject>Colostomy</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Intestinal Obstruction - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Other diseases. Semiology</subject><subject>Sigmoid Diseases - surgery</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. 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Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Intestinal Obstruction - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Other diseases. Semiology</topic><topic>Sigmoid Diseases - surgery</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. 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The median age at presentation was 4.5 years (range 2 weeks-15 years). Abdominal pain, distention, vomiting, and constipation were the main features. Two patients with ISK had bowel gangrene. In three children there was no identifiable cause; two had a narrow attachment of the sigmoid mesocolon with redundant colon and one had adhesive bands. Treatment was by resection and colostomy in five cases and derotation of the torted colon in one. One child with SV died following a wound infection. There was no recurrence. SV and ISK are uncommon in children. There are usually no features specific for these conditions, and the diagnosis is established at laparotomy. The prognosis is good when there is aggressive resuscitation and prompt surgery.</abstract><cop>Heidelberg</cop><cop>Berlin</cop><pub>Springer</pub><pmid>11727056</pmid><doi>10.1007/s003830100010</doi><tpages>2</tpages></addata></record> |
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| subjects | Adolescent Biological and medical sciences Child Child, Preschool Colectomy Colostomy Female Gastroenterology. Liver. Pancreas. Abdomen Humans Infant Infant, Newborn Intestinal Obstruction - surgery Male Medical sciences Other diseases. Semiology Sigmoid Diseases - surgery Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Tropical medicine |
| title | Sigmoid volvulus and ileosigmoid knotting in children |
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