Pediatrics and Neonatology (Jun 2009)

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

  • Li-Lan Chiang,
  • Hong-Shiee Lai,
  • Yen-Hsuan Ni,
  • Wen-Ming Hsu

DOI
https://doi.org/10.1016/s1875-9572(09)60049-8
Journal volume & issue
Vol. 50, no. 3
pp. 129 – 131

Abstract

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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.

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