PEDIATRICS Vol. 53 No. 5 May 1974, pp. 702-705
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Sigmoid Volvulus in Children

John R. Campbell M.D.1 and Eugene Blank M.D.1

1 Departments of Surgery, Radiology, and Pediatrics, University of Oregon Medical School, Portland

Sigmoid volvulus occurred in a boy when he was 6 and 10 years of age. He also had nonobstructive malrotation of the midgut. Reduction both times was effected by proctosigmoidoscopy and the insertion of a rectal tube. Examination of the gastrointestinal tract with barium after the second reduction showed a large sigmoid colon with rough mucosa. At elective operation the dilated, non-obstructed sigmoid was resected.

Sigmoid volvulus is primarily a disease of adults, and in one large series 88% of the patients were 50 years or older. Sigmoid volvulus is also a disease which shows large geographical variations in its incidence. Despite the infrequency of its occurrence in North America and Western Europe and its rarity in children, it may cause acute strangulating obstruction in children.

Submitted on June 21, 1973
Accepted on November 12, 1973