Journal of Indian Association of Pediatric Surgeons (Jan 2011)

Position of a sigmoid colon in right iliac fossa in children: A retrospective study

  • Akshay Kumar Saxena,
  • Kushaljit Singh Sodhi,
  • Sreeharsha Tirumani,
  • Hina Arif Mumtaz,
  • Katragadda Lakshmi Narasimha Rao,
  • Niranjan Khandelwal

DOI
https://doi.org/10.4103/0971-9261.83485
Journal volume & issue
Vol. 16, no. 3
pp. 93 – 96

Abstract

Read online

Aim: The aim was to identify the position of sigmoid colon in children and discuss its clinical significance. Materials and Methods: Ninety-one contrast enema studies were retrospectively evaluated and the position of sigmoid colon categorized as below: Left lower quadrant, right lower quadrant, midline, and indeterminate. Results: The position of sigmoid colon in the right lower quadrant, left lower quadrant, midline, and indeterminate was 32 (35.16%), 33 (36.26%), 12 (13.19%), and 14 (15.38%), respectively. There was no statistically significant difference in mean age (P = 0.87) or gender prevalence (P = 0.49) for different positions of the sigmoid colon. Conclusion: The sigmoid colon occupies the right lower quadrant in a large number of children. Awareness of this finding is of crucial importance in correct interpretation of abdominal radiographs in the emergency room.

Keywords