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American Journal of Roentgenology, Vol 97, 223-226, Copyright © 1966 by American Roentgen Ray Society

SIGMOID VOLVULUS IN CHILDREN

A CASE REPORT

RICHARD L. LILLARD M.D.1, R. PARKER ALLEN M.D.2, and J. E. NORDSTROM M.D.3

1 Resident, From the Denver Children's Hospital, Denver, Colorado
2 Director, From the Department of Radiology, Denver Children's Hospital, Denver, Colorado
3 From the St. Joseph's Hospital, Denver, Colorado

Sigmoid volvulus is reported in a 2 year old boy in whom an attempt at hydrostatic reduction under fluoroscopic control failed, necessitating surgical reduction. The diagnosis was established preoperatively by roentgen signs, the most important of which was the deformity of the barium column in the proximal limb of the volvulus. The term "twisted taper sign" is suggested as a more descriptive alternative to older terms applied to the mesosigmoid and axial torsion.

Proximal limb sigmoid obstruction is characteristic of sigmoid volvulus in children, in contrast to the typical distal limb sigmoid obstruction in adults.


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Copyright © 1966 by the American Roentgen Ray Society.