Taneja S B, Kakar A, Ayyar R D
Dis Colon Rectum. 1977 Jan-Feb;20(1):62-7. doi: 10.1007/BF02587458.
Volvulus of the sigmoid colon is a very uncommon cause of acute obstruction in children. Although common in adults in India, it was found to account for only 0.8 per cent of all acute obstructions in infants and children in this institution. It causes a proximal torsional obstruction of the colon with an acute onset of symptoms. The onset of volvulus is characterized by colicky pain over the left lower quadrant, vomiting, tenderness, and rigidity in te left lower quadrant. A scout film of the abdomen may be inconclusive, but a barium-enema examination is diagnostic. The number of cases reported is too small to allow conclusions about the best treatment for children who have sigmoidal volvulus.
乙状结肠扭转是儿童急性肠梗阻非常罕见的病因。虽然在印度成年人中很常见，但在本机构中，它仅占婴幼儿和儿童所有急性肠梗阻病例的0.8%。它会导致结肠近端扭转梗阻，症状急性发作。扭转的发作表现为左下腹绞痛、呕吐、压痛和左下腹僵硬。腹部初步X光片可能无法确诊，但钡剂灌肠检查具有诊断性。报告的病例数量太少，无法得出关于乙状结肠扭转患儿最佳治疗方法的结论。
