Sigmoid volvulus in an adolescent female: A case report

Abstract

Introduction and importance

Sigmoid volvulus is a rare cause of intestinal obstruction in children and adolescent population. It's considered a disease of the elderly with a widely varying incidence worldwide. It is more common in areas referred to as “volvulus belt” (Middle East, Africa, the Indian subcontinent, Turkey, and South America).

Case presentation

We report a 16-year-old female who underwent emergency laparotomy for intestinal obstruction. We found a twisted sigmoid volvulus in 360 ⁰ degree clockwise. The sigmoid colon was distended and edematous with no perforation or gangrene. Resection of the redundant colon was performed followed by primary anastomosis.

Clinical discussion

Sigmoid volvulus remains an uncommon cause of intestinal obstruction among the adolescent age group. A high index of suspicion is necessary to reach a diagnosis and manage accordingly. Delay in diagnosis can lead to complications such as necrosis and perforation of the twisted colon.

Conclusion

We present a rare cause of intestinal obstruction in a 16-year-old female due to sigmoid volvulus. Early diagnosis and management reduce morbidity and mortality.

Highlights

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  We report a 16 years-old female with intestinal obstruction due to sigmoid volvulus without perforation.

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  The patient underwent resection of the redundant sigmoid and primary end to end anastomosis.

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  Early diagnosis and management prevents complications of sigmoid volvulus.