A Rare Case of Sigmoid Volvulus in a 15-Year-Old Girl

Sigmoid volvulus, a rare condition in adolescents, involves torsion of the sigmoid colon, leading to obstruction and potential complications. While it predominantly affects elderly males, we report in this case a 15-year-old girl with no prior medical history who presented with signs of intestinal obstruction. Clinical examination and abdominopelvic CT revealed significant colonic distension and sigmoid volvulus. Emergency surgical intervention, including sigmoid resection and colostomy, was performed, resulting in an uncomplicated recovery. This case highlights the importance of early diagnosis and surgical management in young patients to prevent severe outcomes like ischemia or perforation. Clinicians should maintain a high index of suspicion for sigmoid volvulus in atypical populations to ensure timely intervention.

Authors

Publication Details

Journal
SAS Journal of Surgery
Published
2025-04-24
DOI
https://doi.org/10.36347/sasjs.2025.v11i04.008
Primary Topic
Intestinal Malrotation and Obstruction Disorders
Type
article
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article

A Rare Case of Sigmoid Volvulus in a 15-Year-Old Girl

Abdelilah Elbakouri, El Hattabi Khalid, Majd Abdessamad, Ettaoussi Abdelhak et al.
SAS Journal of Surgery
Intestinal Malrotation and Obstruction Disorders
article

A Rare Case of Sigmoid Volvulus in a 15-Year-Old Girl

Abdelilah Elbakouri, El Hattabi Khalid, Majd Abdessamad, Ettaoussi Abdelhak, Mahad Abdillahi, Hajri Amal, Mounir Bouali, El kinani Siham, Kamal Khadija, Christian Bukaka
article en

Abstract

Sigmoid volvulus, a rare condition in adolescents, involves torsion of the sigmoid colon, leading to obstruction and potential complications. While it predominantly affects elderly males, we report in this case a 15-year-old girl with no prior medical history who presented with signs of intestinal obstruction. Clinical examination and abdominopelvic CT revealed significant colonic distension and sigmoid volvulus. Emergency surgical intervention, including sigmoid resection and colostomy, was performed, resulting in an uncomplicated recovery. This case highlights the importance of early diagnosis and surgical management in young patients to prevent severe outcomes like ischemia or perforation. Clinicians should maintain a high index of suspicion for sigmoid volvulus in atypical populations to ensure timely intervention.

SAS Journal of SurgeryVol. 11(04)
Openalex Percentile: Top 84%
Intestinal Malrotation and Obstruction Disorders
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A Rare Case of Sigmoid Volvulus in a 15-Year-Old Girl — Abdelilah Elbakouri, El Hattabi Khalid, et al. · SAS Journal of Surgery (2025) | TGRS Research Map | TGRS