Volvulus with sigmoid necrosis in children: Two cases observed at Ignace Deen Hospital

Fofana Houssein 1, Camara Soriba Naby 2, *, Keïta Karim 1, Fofana Naby 1, Soumaoro Labile Togba 1 and Diallo AissatouTaran 1

1 Department of General Surgery Ignace Deen National Hospital Faculty of Sciences and Health Technic Gamal Abdel Nasser of Conakry, Conakry Guinea.
2 Department of Visceral surgery Friendship Hospital Sino Guinean Faculty of Sciences and Health Technic Gamal Abdel Nasser of Conakry, Conakry Guinea.
 
Case Study
GSC Advanced Research and Reviews, 2021, 09(01), 028–031.
Article DOI: 10.30574/gscarr.2021.9.1.0227
Publication history: 
Received on 28 August 2021; revised on 04 October 2021; accepted on 06 October 2021
 
Abstract: 
Introduction: We report the clinical observation of 2 cases of volvulus with sigmoid necrosis in children.
Observation: Two male patients, aged 12 and 15, were hospitalized with acute mechanical bowel obstruction. There was an asymmetric, motionless meteorism and rectal emptiness.
X-rays of the abdomen revealed an arch.
Laparotomy found volvulus with necrosis of the sigmoid colon.
The Hartmann-type colostomy and the ideal colectomy were the surgical procedures.
Conclusion: Sigmoid volvulus is a rare abdominal emergency in children and severe in the necrosis stage.
 
Keywords: 
Sigmoid volvulus; Necrosis; Occlusion: Surgery
 
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