Management of Sigmoid Volvulus Based on Ladd's Procedure: A Case Report
Journal
Pediatrics and Neonatology
Journal Volume
50
Journal Issue
3
Pages
129-131
Date Issued
2009
Author(s)
Abstract
Sigmoid volvulus is a rare but potentially life-threatening condition in childhood. Colectomy is usually required to prevent recurrent volvulus, which carries a high risk of morbidity and mortality. Here, we report a non-resection method based on the concept of Ladd's procedure to treat a sigmoid volvulus in a 15-year-old boy. After re duction of the volvulus, the distance between the sigmoid-rectal junction and the sigmoid-descending colon junction was widened by dissecting the meso-sigmoid colon along the course of the long axis. No colon resection was performed. The total operation time was less than an hour. The post-operative recovery was uneventful. There was no recurrent volvulus during a follow-up of 1 year. Widening the base of the mesosigmoid according to the concept of Ladd's procedure may be considered as a more simple and safe alternative treatment to prevent recurrent sigmoid volvulus in children. ? 2009 Taiwan Pediatric Association.
SDGs
Other Subjects
abdominal distension; abdominal pain; abdominal radiography; adolescent; article; case report; colonoscopy; computer assisted tomography; descending colon; human; laboratory test; Ladd procedure; laparotomy; male; mesocolon; operation duration; physical examination; postoperative period; rectum; sigmoid; sigmoid volvulus; surgical technique; vomiting; Adolescent; Colon, Sigmoid; Digestive System Surgical Procedures; Humans; Intestinal Volvulus; Male; Sigmoid Diseases; Tomography, X-Ray Computed
Type
journal article