Damkjaer Merete Berthu, Farooqui Waqas, Ifaoui Inge, Penninga Luit
Department of Surgery and Transplantation, Rigshospitalet, Copenhagen Universiy Hospital, Copenhagen, Denmark.
Department of Surgery and Transplantation, Rigshospitalet, Copenhagen Universiy Hospital, Copenhagen, Denmark
BMJ Case Rep. 2021 May 12;14(5):e241869. doi: 10.1136/bcr-2021-241869.
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.
小儿乙状结肠扭转是一种罕见但可能危及生命的疾病。自1940年以来，仅报告了100例病例。与成人不同，成人乙状结肠扭转的病情和治疗方法已有详细描述，而对于青少年乙状结肠扭转尚无共识性指南。我们报告一例12岁患者，其表现为轻度腹部不适和无排便等非典型症状。CT扫描显示乙状结肠扭转，遂进行急诊切除并造瘘。通过该病例，我们想强调当出现腹部不适和便秘症状时，青少年乙状结肠扭转可能是一种鉴别诊断。
