Sigmoid Volvulus Causing Intestinal Obstruction in A Child - A Case Report and Review of Literature
Abstract
Introduction: Sigmoid volvulus is a rare cause of intestinal obstruction in pediatric practice. High index of suspicion is necessary to diagnose the condition. Prompt diagnosis and treatment is mandatory to intervene before colon becomes ischaemic and perforates with dire consequences. Case presentation: We report a case of 11 year old Sri Lankan male child who presented to pediatric surgical unit with features suggestive of intestinal obstruction. X ray abdomen revealed classic omega (coffee bean) sign of sigmoid volvulus. Following resuscitation endoscopic de rotation was attempted, but failed. Subsequently patient underwent laparotomy and Sigmoid volvulus with gangrene and impending perforation was noted. No predisposing cause except long mesentery was identified. Hartmanns procedure with resection of gangrenous bowel was performed at the emergency setting. Patient made an uneventful recovery, and hartmann reversal was performed 8 weeks later. He made a steady recovery and remains free of symptoms to date. Conclusion: Clinicians dealing with pediatric surgical problems should maintain a high degree of suspicion, in order not to miss this important diagnosis, as any delay in instituting treatment has a devastation effect in morbidity as well as mortality. Early diagnosis and prompt treatment confers excellent prognosis.
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Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
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