Pediatrics & Neonatology
Volume 50, Issue 3 , Pages 129-131, June 2009

Management of Sigmoid Volvulus Based on Ladd's Procedure: A Case Report

  • Li-Lan Chiang

      Affiliations

    • Department of Pediatrics, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
    • ,
  • Hong-Shiee Lai

      Affiliations

    • Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
    • ,
  • Yen-Hsuan Ni

      Affiliations

    • Department of Pediatrics, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
    • ,
  • Wen-Ming Hsu

      Affiliations

    • Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
    • Corresponding Author InformationCorresponding author. Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan

Received 9 October 2008; received in revised form 16 December 2008; accepted 6 January 2009.

Article Outline

Sigmoid volvulus is a rare but potentially life-threatening condition in childhood. Colectomy is usually required to prevent recurrent volvulus, which carries a high risk of morbidity and mortality. Here, we report a non-resection method based on the concept of Ladd's procedure to treat a sigmoid volvulus in a 15-year-old boy. After re duction of the volvulus, the distance between the sigmoid-rectal junction and the sigmoid-descending colon junction was widened by dissecting the meso-sigmoid colon along the course of the long axis. No colon resection was performed. The total operation time was less than an hour. The post-operative recovery was uneventful. There was no recurrent volvulus during a follow-up of 1 year. Widening the base of the mesosigmoid according to the concept of Ladd's procedure may be considered as a more simple and safe alternative treatment to prevent recurrent sigmoid volvulus in children.

Key Words:  children , Ladd's procedure , sigmoid volvulus

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References 

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  2. Atamanalp SS , Yildirgan MI , Basoglu M , et al.   Sigmoid colon volvulus in children: review of 19 cases . Pediatr Surg Inter . 2004;20:492–495
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PII: S1875-9572(09)60049-8

doi:10.1016/S1875-9572(09)60049-8

Pediatrics & Neonatology
Volume 50, Issue 3 , Pages 129-131, June 2009

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