A CASE OF SIGMOID VOLVULUS ASSOCIATED WITH CONSTIPATION

Abstract

Sigmoid volvulus (SV) is a rare cause of intestinal obstruction in adolescents. Delay in diagnosis may lead to complications such as necrosis and perforation of the volvulated colon. Clinical presentations are non-specific and the diagnosis is based on high clinical suspicion. We report a 14-year-old male patient who presented to the emergency department with abdominal pain and no stool output. It was learned that the patient had these complaints for the last four years and had been receiving constipation treatment. In the standing abdominal X ray, the classic coffee bean finding seen in the sigmoid volvulus was found. A diagnostic laparotomy was performed, which revealed a 180-degree rotation of the mesentery and a significant diameter difference in the colon due to significant dilatation proximal to the volvulus. This case with SV without complications reminds us that SV should be considered as a differential in patients presenting with acute or recurrent abdominal pain and intestinal obstruction.

Keywords

• Sigmoid volvulus
• constıpatıon
• emergency

References

1. 1. Chang P-H, Jeng C-M, Chen D-F, Lin L-H. A case report and literature review of sigmoid volvulus in children. Medicine. 2017;96(52):e9434.
2. 2. Kiyaka SM, Sikakulya FK, Masereka R, Okedi XF, Anyama P. Sigmoid volvulus in an adolescent female: A case report. International journal of surgery case reports. 2021;87:106430.
3. 3. Haider F, Al Asheeri N, Ayoub B, Abrar E, Khamis J, Isa H, et al. Sigmoid volvulus in children: a case report. Journal of Medical Case Reports. 2017;11:1-5.
4. 4. Salas S, Angel CA, Salas N, Murillo C, Swischuk L. Sigmoid volvulus in children and adolescents. Journal of the American College of Surgeons. 2000;190(6):717-23.
5. 5. Colinet S, Rebeuh J, Gottrand F, Kalach N, Paquot I, Djeddi D, et al. Presentation and endoscopic management of sigmoid volvulus in children. European journal of pediatrics. 2015;174:965-9.
6. 6. Atamanalp SS, Yildirgan Mİ, Başoğlu M, Kantarci M, Yılmaz İ. Sigmoid colon volvulus in children: review of 19 cases. Pediatric surgery international. 2004;20:492-5.
7. 7. Smith S, Golladay E, Wagner C, Seibert J. Sigmoid volvulus in childhood. Southern medical journal. 1990;83(7):778-81.
8. 8. Akintomide AO, Inyang AW. Spontaneous detorsion of sigmoid volvulus in a toddler: a timely abdominal X-ray that clinched the diagnosis and a review of the role of radiology. Int J Case Rep Images. 2019;10:10.5348.