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Research Article Open access CC BY 4.0

Adolescent Female with Acute-onset Abdominal Pain

Parwaiz Rashidzada, Rolando Guevarra, Cornelia Muntean

International Journal of Medical and Pharmaceutical Case Reports · pp. 18–23 · Published 1 Feb 2024

10.9734/ijmpcr/2024/v17i1362

Abstract

Background: Sigmoid volvulus is a more common cause of abdominal pain in geriatric patients. It is an uncommon cause for a pediatric patient, especially when dealing with an adolescent patient. Here we discuss an uncommon presentation of sigmoid volvulus. Case Description: A 14-year-old female presents with sudden-onset abdominal pain found to have sigmoid volvulus on CT imaging. She eventually underwent sigmoidoscopy for reduction and was monitored for 24 hours post-procedure. Conclusion: This case demonstrates the importance of having a high index of suspicion when a patient presents with volvulus, especially with adolescence. Although rare, it should always be on the differential due to its high rate of mortality if diagnosed late.

Sigmoid volvulus abdominal pain pediatric population

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