Çocukta akut abdominal ağrının nadir bir nedeni: dev sigmoid volvulus

Sigmoid volvulus (SV) çocukluk çağında nadir görülen erken tanı konulmazsa hayatı tehdit edici bir hastalıktır. SV sigmoid kolonun kendi mezenter kökü etrafında dönmesi ile oluşup kolonik segmentteki obstrüksiyon ve iskemi ilerleyince nekroz, perforasyon, peritonit, sepsis gelişmesine neden olmaktadır. SV’de önemli olan karın ağrısı, konstipasyon, distansiyon gibi şikâyetlerle başvuran hastalarda ayrıntılı hikaye, fizik muayene ve laboratuvar bulgularının incelenmesinde hekimin bu tanıyı da akılda tutmasıdır. Böylece tanıyı doğrulayacak ileri radyolojik incelemelerin zaman kaybedilmeden planlanması ve uygun tedavi protokolü mümkün olacaktır.

Anahtar Kelimeler:

Sigmoid volvulus, Çocuk, Karın ağrısı

A rare cause of acute abdominal pain in a child: Giant sigmoid volvulus

Sigmoid volvulus (SV) is a rare, but also life-threatening disease if not diagnosed earlier. SV appears as torsion of the sigmoid colon around its mesentery and causes necrosis, perforation, peritonitis and sepsis when obstruction and ischemia progresses in the colon segment. The important issue in SV to keep in mind is consideration of this rare condition during detailed examination of the history, physical examination and laboratory findings in the patient who refers because of some complaints such as abdominal pain, constipation and distention. This would allow planning the advanced radiological examinations and adequate treatment protocols to confirm the diagnosis.

Keywords:

Sigmoid volvulus, Child, Abdominal pain,

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