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

  • 1Department of Surgery, Chonnam National University Medical School, Gwangju, Korea. choisjn@jnu.ac.kr


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.


Sigmoid colon; Volvulus; Constipation

MeSH Terms

Abdominal Pain
Colon, Sigmoid
Intestinal Volvulus


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

  • 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.

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

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

Cited by  1 articles

A Case of Sigmoid Volvulus in a Child
Dong Han Lee, Ju Hee We, Hyun Seok Park, Hae Young Kim, Jae Hong Park
Korean J Pediatr Gastroenterol Nutr. 2010;13(2):199-203.    doi: 10.5223/kjpgn.2010.13.2.199.


1. Smith SD, Golladay ES, Wagner C, Seibert JJ. Sigmoid volvulus in childhood. South Med J. 1990. 83:778–781.
2. Chirdan LB, Ameh EA. Sigmoid volvulus and ileosigmoid knotting in children. Pediatr Surg Int. 2001. 17:636–637.
3. Samuel M, Boddy SA, Nicholls E, Capps S. Large bowel volvulus in childhood. Aust N Z J Surg. 2000. 70:258–262.
4. Hagar JM, Rahimtoola SH. Chaga's heart disease in the United States. N Engl J Med. 1991. 325:763–768.
5. Barnes PR, Lennard-Jones JE, Hawley PR, Todd IP. Hirschsprung's disease and idiopathic megacolon in adults and adolescents. Gut. 1986. 27:534–541.
6. Ballantyne GH. Review of sigmoid volvulus: history and results of treatment. Dis Colon Rectum. 1982. 25:494–501.
7. Mokoena TR, Madiba TE. Sigmoid volvulus among Africans in Durban. Trop Geogr Med. 1995. 47:216–217.
8. Mellor SG, Phillips RK. The aetiology and management of sigmoid volvulus in the UK: how much colon need be excised? Ann R Coll Surg Engl. 1990. 72:193–195.
9. Stabile G, Kamm MA, Hawley PR, Lennard-Jones JE. Results of the Duhamel operation in the treatment of idiopathic megarectum and megacolon. Br J Surg. 1991. 78:661–663.
10. Agaoglu N, Yucel Y, Turkyilmaz S. Surgical treatment of the sigmoid volvulus. Acta Chir Belg. 2005. 105:365–368.
Full Text Links
  • JKSS
export Copy
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr