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

Fofana  Houssein; Camara Soriba  Naby; Keïta  Karim; Fofana  Naby; Soumaoro Labile  Togba; Diallo  AissatouTaran

doi:10.30574/gscarr.2021.9.1.0227

Authors

Fofana Houssein Department of General Surgery Ignace Deen National Hospital Faculty of Sciences and Health Technic Gamal Abdel Nasser of Conakry, Conakry Guinea.
Camara Soriba Naby Department of Visceral surgery Friendship Hospital Sino Guinean Faculty of Sciences and Health Technic Gamal Abdel Nasser of Conakry, Conakry Guinea.
Keïta Karim Department of General Surgery Ignace Deen National Hospital Faculty of Sciences and Health Technic Gamal Abdel Nasser of Conakry, Conakry Guinea.
Fofana Naby Department of General Surgery Ignace Deen National Hospital Faculty of Sciences and Health Technic Gamal Abdel Nasser of Conakry, Conakry Guinea.
Soumaoro Labile Togba Department of General Surgery Ignace Deen National Hospital Faculty of Sciences and Health Technic Gamal Abdel Nasser of Conakry, Conakry Guinea.
Diallo AissatouTaran Department of General Surgery Ignace Deen National Hospital Faculty of Sciences and Health Technic Gamal Abdel Nasser of Conakry, Conakry Guinea.

DOI:

https://doi.org/10.30574/gscarr.2021.9.1.0227

Keywords:

Sigmoid volvulus, Necrosis, Occlusion, Surgery

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.

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