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Sigmoid volvulus in children
  1. Merete Berthu Damkjaer,
  2. Waqas Farooqui,
  3. Inge Ifaoui and
  4. Luit Penninga
  1. Department of Surgery and Transplantation, Rigshospitalet, Copenhagen Universiy Hospital, Copenhagen, Denmark
  1. Correspondence to Dr Luit Penninga; LP{at}ctu.dk

Abstract

Sigmoid volvulus in paediatric patients is a rare but potentially life-threatening condition. Since 1940, only 100 cases have been reported. There are no consensual guidelines for juvenile sigmoid volvulus unlike in adults, where the condition and the treatment is well described. We report a case of a 12-year-old patient, who presented with uncharacteristic symptoms of mild abdominal discomfort and lack of passage of stool. A CT-scan showed a sigmoid volvulus and emergency resection was performed with placement of a colostomy. With this case, we want to emphasise juvenile sigmoid volvulus as a probable differential diagnosis when symptoms of abdominal distress and constipation occur.

  • gastrointestinal surgery
  • paediatric surgery
  • congenital disorders

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Footnotes

  • Contributors All authors have contributed substantially to this publication. WF and LP had the idea. MBD and WF prepared the first draft. WF, LP and II revised the manuscript. All authors approved the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.