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Sigmoid volvulus – With a twist
J Ped Surg Case Reports 1 (2013) 230e231
Contents lists available at SciVerse ScienceDirect
Journal of Pediatric Surgery CASE REPORTS journal homepage: www.jpscasereports.com
Sigmoid volvulus e With a twistq Uchenna Onuoha*, Ueli Möhrlen, Martin Meuli Department of Pediatric Surgery, University Children’s Hospital, Zurich, Switzerland
a r t i c l e i n f o
a b s t r a c t
Article history: Received 2 July 2013 Accepted 7 July 2013
Background: Sigmoid volvulus is a well-known and rather rare and potentially even life-threatening condition in children. Treatment consists of a vigorous rectal enema, eventually followed by surgery if the former management is not successful. The goal of this presentation is to demonstrate exclusive pictures delivering unequivocal direct evidence for both volvulation and successful devolvulation of a classical sigmoid volvulus. Despite a good search we have not found a similarly powerful e because self-explanatory e illustration of a phenomenon that is far better known than actually documented. Ó 2013 The Authors. Published by Elsevier Inc. All rights reserved.
Key words: Sigmoid Volvulus Children
Sigmoid volvulus is a well-known, rather rare, and potentially even life-threatening condition in children. Treatment consists of a vigorous rectal enema, eventually followed by surgery if the former is unsuccessful.
Fig. 1. Loop-formation of tube proving a 180 -volvulation of the sigmoid colon.
q This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-No Derivative Works License, which permits non-commercial use, distribution, and reproduction in any medium, provided the original author and source are credited. * Corresponding author. Steinstrasse 58, 8003 Zürich, Switzerland. Tel.: þ41 44 558 43 13. E-mail address: [email protected] (U. Onuoha).
Fig. 2. Devolvulation of the elongated sigmoid colon after enema application.
2213-5766/$ e see front matter Ó 2013 The Authors. Published by Elsevier Inc. All rights reserved. http://dx.doi.org/10.1016/j.epsc.2013.07.004
U. Onuoha et al. / J Ped Surg Case Reports 1 (2013) 230e231
We report on a one-year-old boy presenting with acute abdominal pain and non-bilious vomiting. Plain radiograph after insertion of a rectal tube showed a 180 -volvulation of the sigmoid colon (Fig. 1). After a rectal enema with sodium chloride the patient passed a significant amount of stool and air, and his clinical condition improved instantly. A control X-ray clearly illustrated the devolvulation of the apparently elongated sigmoid (Fig. 2). The goal of this presentation is to demonstrate truly exclusive pictures delivering unequivocal direct evidence for
231
both volvulation and successful devolvulation of a classical sigmoid volvulus. Despite a meticulous search, we have not found a similarly compelling e because self-explanatory e illustration of a phenomenon that is far better known than actually documented.
Conflict of interest statement The authors have no conflict of interest to declare.
Contents lists available at SciVerse ScienceDirect
Journal of Pediatric Surgery CASE REPORTS journal homepage: www.jpscasereports.com
Sigmoid volvulus e With a twistq Uchenna Onuoha*, Ueli Möhrlen, Martin Meuli Department of Pediatric Surgery, University Children’s Hospital, Zurich, Switzerland
a r t i c l e i n f o
a b s t r a c t
Article history: Received 2 July 2013 Accepted 7 July 2013
Background: Sigmoid volvulus is a well-known and rather rare and potentially even life-threatening condition in children. Treatment consists of a vigorous rectal enema, eventually followed by surgery if the former management is not successful. The goal of this presentation is to demonstrate exclusive pictures delivering unequivocal direct evidence for both volvulation and successful devolvulation of a classical sigmoid volvulus. Despite a good search we have not found a similarly powerful e because self-explanatory e illustration of a phenomenon that is far better known than actually documented. Ó 2013 The Authors. Published by Elsevier Inc. All rights reserved.
Key words: Sigmoid Volvulus Children
Sigmoid volvulus is a well-known, rather rare, and potentially even life-threatening condition in children. Treatment consists of a vigorous rectal enema, eventually followed by surgery if the former is unsuccessful.
Fig. 1. Loop-formation of tube proving a 180 -volvulation of the sigmoid colon.
q This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-No Derivative Works License, which permits non-commercial use, distribution, and reproduction in any medium, provided the original author and source are credited. * Corresponding author. Steinstrasse 58, 8003 Zürich, Switzerland. Tel.: þ41 44 558 43 13. E-mail address: [email protected] (U. Onuoha).
Fig. 2. Devolvulation of the elongated sigmoid colon after enema application.
2213-5766/$ e see front matter Ó 2013 The Authors. Published by Elsevier Inc. All rights reserved. http://dx.doi.org/10.1016/j.epsc.2013.07.004
U. Onuoha et al. / J Ped Surg Case Reports 1 (2013) 230e231
We report on a one-year-old boy presenting with acute abdominal pain and non-bilious vomiting. Plain radiograph after insertion of a rectal tube showed a 180 -volvulation of the sigmoid colon (Fig. 1). After a rectal enema with sodium chloride the patient passed a significant amount of stool and air, and his clinical condition improved instantly. A control X-ray clearly illustrated the devolvulation of the apparently elongated sigmoid (Fig. 2). The goal of this presentation is to demonstrate truly exclusive pictures delivering unequivocal direct evidence for
231
both volvulation and successful devolvulation of a classical sigmoid volvulus. Despite a meticulous search, we have not found a similarly compelling e because self-explanatory e illustration of a phenomenon that is far better known than actually documented.
Conflict of interest statement The authors have no conflict of interest to declare.