Obstructing Sigmoid Volvulus: An Unusual Complication in a Pediatric Patient With Ulcerative Colitis. Issue 2 (2nd February 2023)

• Record Type: Journal Article
• Authors: Mittal, Aditi; DeRoss, Anthony; Goldman, Deborah; Chen, Charles B.; Kay, Marsha
• Is Part Of: ACG Case Reports Journal. Volume 10:Issue 2(2023)
• Page Start: e00998
• Publication Date: 2023-02-02
• Subjects: pediatric ulcerative colitis -- sigmoid volvulus -- colonic dilation -- pediatric IBD -- volvulus -- colonic distension
• DOI: 10.14309/crj.0000000000000998
• Languages: English
• ISSNs: 2326-3253

Abstract

ABSTRACT: Acute colonic dilation in pediatric patients with ulcerative colitis (UC) raises a concern for toxic megacolon, but other rare conditions such as sigmoid volvulus may present in a similar manner. We report a rare case of a teenager with UC without prior surgery who developed an obstructing sigmoid volvulus managed with endoscopic detorsion and decompression. Colonic inflammation in patients with UC may result in a volvulus in the absence of other predisposing factors and should be considered in the differential diagnosis of patients with UC who present with obstructive symptoms with an atypical presentation.