Pediatric Sigmoid Volvulus.


eMediNexus    11 July 2018

A new article published in Pediatric Emergency Care reported that sigmoid volvulus (SV) is an extremely rare cause of abdominal pain in children. SV is usually found in older adults and occurs when a redundant loop of sigmoid wraps around its elongated, narrow mesentery causing obstruction and ischemia to the affected bowel segment. The article elaborated that in children, SV usually manifests as abdominal pain, nausea, and abdominal distension. SV symptoms may be acute or chronic with a history of episodic constipation or abdominal distension. It was discussed that the management of SV comprises an initial reduction of the volvulus via sigmoidoscopy with rectal biopsy to rule out Hirschsprung’s disease. An operative management to remove the dilated sigmoid colon may be necessary in cases with recurrence or confirmed Hirschsprung’s disease. Moreover, SV should be considered in a child presenting with abdominal pain as a missed diagnosis can predispose to a high risk of morbidity and mortality.

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