Abstract
We report a case of sigmoid volvulus accompanied by undiagnosed Hirschsprung's disease (HD). A 3-year-old boy who had had chronic constipation since birth was admitted because of progressive abdominal distention and obstipation. A plain abdominal film was compatible with megacolon and distal obstruction. Sigmoid volvulus secondary to HD was found at emergency laparotomy, and a colostomy was performed after detorsion. A Soave procedure performed 3 months later yielded complete loss of symptoms. Whenever an operation for sigmoid volvulus is performed in children, a frozen biopsy section of distal colon to exclude HD is recommended.
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Erdener, A., Ulman, İ., Özcan, C. et al. A case of sigmoid volvulus secondary to Hirschsprung's disease. Pediatr Surg Int 10, 409–410 (1995). https://doi.org/10.1007/BF00182242
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DOI: https://doi.org/10.1007/BF00182242