J Korean Surg Soc.  2009 Dec;77(6):441-444. 10.4174/jkss.2009.77.6.441.

Chronic Constipation Led to Sigmoid Volvulus in a Child

• Lee HK
• Choi SJ

• KMID: 1464827
• DOI: http://doi.org/10.4174/jkss.2009.77.6.441

Abstract

Sigmoid volvulus is uncommon in children. Chronic constipation rarely leads to sigmoid volvulus. We report the experience of a case of sigmoid volvulus led by chronic constipation in a child. An 11-year-old girl complained abdominal pain and constipation, which had continued for previous 3 years. Under the impression of sigmoid volvulus by simple abdominal x-ray and abdominal computed tomography, emergency colonoscopic reduction of the volvulus tried to fail to the emergency segmental resection of the twisted sigmoid colon. After 3 months of operation, her constipation improved gradually with no other untoward symptoms so far.

Keyword

Sigmoid colon; Volvulus; Constipation

MeSH Terms

Abdominal Pain
Child
Colon, Sigmoid
Constipation
Emergencies
Humans
Intestinal Volvulus

Figure

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  Fig. 1 Plain abdominal film, showing 'coffee bean' shaped distension of sigmoid colon.

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  Fig. 2 Abdominal computed tomography, demonstrating dilated loops of sigmoid colon and proximal large bowel. 'Whirl pool sign' (Arrow) caused by torsion of sigmoid mesentery is noticed.

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  Fig. 3 Operation findings, showing twisting and huge distension of sigmoid colon.

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  Fig. 4 Photomicroscopic findings, revealing ganglionic cells (Arrow) in rectal biopsy (H&E, ×200).

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