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篇名	Contrast-enhanced CT as a preferred diagnostic tool in sigmoid volvulus in a 14-year-old girl
作者	Chi-Jen Chang a,b,*, Ming-Lun Yeh c, Hsin-Yu Hung d
卷期/出版年月	44卷4期 (2011/8)
頁次	153-155
摘要	Volvulus of the sigmoid colon is rare in children although it is a common cause of large bowel obstruction in elderly people. We report a case of sigmoid volvulus in a 14-year-old girl with intellectual disability. She had a 1-year history of chronic diarrhea despite supportive treatment. She was brought to the emergency department because of intermittent abdominal pain associated with vomiting of bile and passage of bloody stools. A plain X-ray showed dilated bowel loops. A contrast-enhanced computed tomography (CT) scan showed both limbs of the distended loop tapering in size and forming a round soft-tissue mass with whirled configuration in the left colonic compartment. Preoperatively, volvulus was suspected. Exploratory laparotomy disclosed a markedly distended sigmoid colon packed with fecal material and a counterclockwise rotation of 720 degrees with strangulating gangrene. The volvulus was untwisted, and a 65-cm segmental resection of the colon and primary anastomosis were performed. The patient was discharged on the 19th day following an uneventful postoperative course. We believe that a contrastenhanced CT scan is a useful tool in the diagnosis of sigmoid volvulus.
關鍵詞	children;sigmoid;volvulus
分類	Case Report