TY - JOUR
T1 - A surprising twist to an old problem
T2 - Sigmoid volvulus in a 19-year-old man
AU - Salinas, Nathan L.
AU - Carr, Shamus R.
AU - Han, Dale
AU - Mahmoud, Najjia N.
PY - 2007/3/1
Y1 - 2007/3/1
N2 - Sigmoid volvulus classically presents in the seventh or eighth decade, therefore, diagnosis of sigmoid volvulus in an adolescent may be delayed or missed. This life-threatening diagnosis should be considered in young patients presenting with abdominal pain, nausea, vomiting, and constipation. Intraoperative findings in a 19-year-old man with a sigmoid volvulus highlight the importance of considering further studies, such as an abdominal CT scan, which goes beyond the typical obstruction evaluation in the adolescent patient. When nonoperative management fails to decompress the volvulus, complicating factors should be considered, and laparotomy is indicated to provide definitive treatment for this condition.
AB - Sigmoid volvulus classically presents in the seventh or eighth decade, therefore, diagnosis of sigmoid volvulus in an adolescent may be delayed or missed. This life-threatening diagnosis should be considered in young patients presenting with abdominal pain, nausea, vomiting, and constipation. Intraoperative findings in a 19-year-old man with a sigmoid volvulus highlight the importance of considering further studies, such as an abdominal CT scan, which goes beyond the typical obstruction evaluation in the adolescent patient. When nonoperative management fails to decompress the volvulus, complicating factors should be considered, and laparotomy is indicated to provide definitive treatment for this condition.
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M3 - Article
C2 - 17375789
AN - SCOPUS:34147095379
VL - 73
SP - 284
EP - 286
JO - The American surgeon
JF - The American surgeon
SN - 0003-1348
IS - 3
ER -