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Çocukta akut abdominal ağrının nadir bir nedeni: dev sigmoid volvulus

Year 2019, Volume: 3 Issue: 1, 97 - 99, 27.01.2019
https://doi.org/10.28982/josam.464087

Abstract

Sigmoid volvulus (SV) çocukluk çağında nadir görülen erken tanı konulmazsa hayatı tehdit edici bir hastalıktır. SV sigmoid kolonun kendi mezenter kökü etrafında dönmesi ile oluşup kolonik segmentteki obstrüksiyon ve iskemi ilerleyince nekroz, perforasyon, peritonit, sepsis gelişmesine neden olmaktadır. SV’de önemli olan karın ağrısı, konstipasyon, distansiyon gibi şikâyetlerle başvuran hastalarda ayrıntılı hikaye, fizik muayene ve laboratuvar bulgularının incelenmesinde hekimin bu tanıyı da akılda tutmasıdır. Böylece tanıyı doğrulayacak ileri radyolojik incelemelerin zaman kaybedilmeden planlanması ve uygun tedavi protokolü mümkün olacaktır.

References

  • 1. Oren D, Atamanalp SS, Aydinli B, Yildirgan MI, Başoğlu M, Polat KY, et al. An algorithm for the management of sigmoid colon volvulus and the safety of primary resection: experience with 827 cases. Dis Colon Rectum. 2007;50(4):489–97. DOI: 10.1007/s10350-006-0821-x
  • 2. Salas S, Angel CA, Salas N, Murillo C, Swischuk L. Sigmoid volvulus in children and adolescents. J Am Coll Surg. 2000;190(6):717–23.
  • 3. Weingrow D, McCague A, Shah R, Lalezarzadeh F. Delayed presentation of sigmoid volvulus in a young woman. West J Emerg Med. 2012;13(1):100-2. doi: 10.5811/westjem.2011.4.6720.
  • 4. Chang CJ, Hsieh TH, Tsai KC, Fan CM. Sigmoid Volvulus in a Young Woman Nearly Misdiagnosed as Fecal Impaction. J Emerg Med. 2013;44(3):611-3. doi: 10.1016/j.jemermed.2012.02.084.
  • 5. Raveenthiran V. Emptiness of the left iliac fossa: a new clinical sign of sigmoid volvulus. Postgrad Med J. 2000;76(900):638-4.
  • 6. Chiang LL, Lai HS, Ni YH, Hsu WM. Management of sigmoid volvulus based on Ladd’s procedure: a case report. Pediatr Neonatol. 2009;50(3):129−31. doi: 10.1016/S1875-9572(09)60049-8.
  • 7. Parolini F, Orizio P, Bulotta AL, Garcia Magne M, Boroni G, Cengia G, et al. Endoscopic management of sigmoid volvulus in children. Gastrointest Endosc. 2016;8(12):439–43. doi: 10.4253/wjge.v8.i12.439.
  • 8. 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(7):965–9. doi: 10.1007/s00431-015-2489-5.
  • 9. Weeratunga ND, Samarakoon LB, Lamahewage AK. Sigmoid Volvulus Causing Intestinal Obstruction in a Child – A Case Report and Review of Literature. J Pediatr Neonatal Care. 2015;2:67. doi: 10.15406/jpnc.2015.02.00067

A rare cause of acute abdominal pain in a child: Giant sigmoid volvulus

Year 2019, Volume: 3 Issue: 1, 97 - 99, 27.01.2019
https://doi.org/10.28982/josam.464087

Abstract

Sigmoid volvulus (SV) is a rare, but also life-threatening disease if not diagnosed earlier. SV appears as torsion of the sigmoid colon around its mesentery and causes necrosis, perforation, peritonitis and sepsis when obstruction and ischemia progresses in the colon segment. The important issue in SV to keep in mind is consideration of this rare condition during detailed examination of the history, physical examination and laboratory findings in the patient who refers because of some complaints such as abdominal pain, constipation and distention. This would allow planning the advanced radiological examinations and adequate treatment protocols to confirm the diagnosis.

References

  • 1. Oren D, Atamanalp SS, Aydinli B, Yildirgan MI, Başoğlu M, Polat KY, et al. An algorithm for the management of sigmoid colon volvulus and the safety of primary resection: experience with 827 cases. Dis Colon Rectum. 2007;50(4):489–97. DOI: 10.1007/s10350-006-0821-x
  • 2. Salas S, Angel CA, Salas N, Murillo C, Swischuk L. Sigmoid volvulus in children and adolescents. J Am Coll Surg. 2000;190(6):717–23.
  • 3. Weingrow D, McCague A, Shah R, Lalezarzadeh F. Delayed presentation of sigmoid volvulus in a young woman. West J Emerg Med. 2012;13(1):100-2. doi: 10.5811/westjem.2011.4.6720.
  • 4. Chang CJ, Hsieh TH, Tsai KC, Fan CM. Sigmoid Volvulus in a Young Woman Nearly Misdiagnosed as Fecal Impaction. J Emerg Med. 2013;44(3):611-3. doi: 10.1016/j.jemermed.2012.02.084.
  • 5. Raveenthiran V. Emptiness of the left iliac fossa: a new clinical sign of sigmoid volvulus. Postgrad Med J. 2000;76(900):638-4.
  • 6. Chiang LL, Lai HS, Ni YH, Hsu WM. Management of sigmoid volvulus based on Ladd’s procedure: a case report. Pediatr Neonatol. 2009;50(3):129−31. doi: 10.1016/S1875-9572(09)60049-8.
  • 7. Parolini F, Orizio P, Bulotta AL, Garcia Magne M, Boroni G, Cengia G, et al. Endoscopic management of sigmoid volvulus in children. Gastrointest Endosc. 2016;8(12):439–43. doi: 10.4253/wjge.v8.i12.439.
  • 8. 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(7):965–9. doi: 10.1007/s00431-015-2489-5.
  • 9. Weeratunga ND, Samarakoon LB, Lamahewage AK. Sigmoid Volvulus Causing Intestinal Obstruction in a Child – A Case Report and Review of Literature. J Pediatr Neonatal Care. 2015;2:67. doi: 10.15406/jpnc.2015.02.00067
There are 9 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case report
Authors

Ayşe Selcan Koç 0000-0003-1973-0719

Zerrin Özçelik This is me 0000-0003-3728-0846

Publication Date January 27, 2019
Published in Issue Year 2019 Volume: 3 Issue: 1

Cite

APA Koç, A. S., & Özçelik, Z. (2019). A rare cause of acute abdominal pain in a child: Giant sigmoid volvulus. Journal of Surgery and Medicine, 3(1), 97-99. https://doi.org/10.28982/josam.464087
AMA Koç AS, Özçelik Z. A rare cause of acute abdominal pain in a child: Giant sigmoid volvulus. J Surg Med. January 2019;3(1):97-99. doi:10.28982/josam.464087
Chicago Koç, Ayşe Selcan, and Zerrin Özçelik. “A Rare Cause of Acute Abdominal Pain in a Child: Giant Sigmoid Volvulus”. Journal of Surgery and Medicine 3, no. 1 (January 2019): 97-99. https://doi.org/10.28982/josam.464087.
EndNote Koç AS, Özçelik Z (January 1, 2019) A rare cause of acute abdominal pain in a child: Giant sigmoid volvulus. Journal of Surgery and Medicine 3 1 97–99.
IEEE A. S. Koç and Z. Özçelik, “A rare cause of acute abdominal pain in a child: Giant sigmoid volvulus”, J Surg Med, vol. 3, no. 1, pp. 97–99, 2019, doi: 10.28982/josam.464087.
ISNAD Koç, Ayşe Selcan - Özçelik, Zerrin. “A Rare Cause of Acute Abdominal Pain in a Child: Giant Sigmoid Volvulus”. Journal of Surgery and Medicine 3/1 (January 2019), 97-99. https://doi.org/10.28982/josam.464087.
JAMA Koç AS, Özçelik Z. A rare cause of acute abdominal pain in a child: Giant sigmoid volvulus. J Surg Med. 2019;3:97–99.
MLA Koç, Ayşe Selcan and Zerrin Özçelik. “A Rare Cause of Acute Abdominal Pain in a Child: Giant Sigmoid Volvulus”. Journal of Surgery and Medicine, vol. 3, no. 1, 2019, pp. 97-99, doi:10.28982/josam.464087.
Vancouver Koç AS, Özçelik Z. A rare cause of acute abdominal pain in a child: Giant sigmoid volvulus. J Surg Med. 2019;3(1):97-9.