{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T10:24:25Z","timestamp":1787653465663,"version":"build-2736575974"},"reference-count":0,"publisher":"Pakistan Journal of Medical Sciences","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pak J Med Sci"],"abstract":"<jats:p>Objectives: Childhood sigmoid volvulus (SV) is a comparatively rare illness. The objective of this study was to examine the recent advances in childhood SV.\nMethodology: In clinical review conducted at Ataturk University, Turkey, we used combined retrospective (from June 1966 to July 1986) and prospective (from July 1986 to July 2026) evaluation.\nResults: Fourteen children constituted 1.3% of total 1,101 SV cases. Mean age was 10.3 years (range: 10 weeks-17 years) and male\/female ratio was 12\/2 (85.7%\/14.3%). Previous SV attack was present in two patients (14.3%). Mean admission period was 60.9 hours (range: 24-96 hours). Main clinical features were abdominal pain\/tenderness (12 cases, 85.7%), distention (ten cases, 71.4%), abnormal bowel sound (nine cases, 64.3%), vomiting (seven cases, 50.0%), obstipation and muscular rigidity\/rebound tenderness (six cases, 42.9% for each), hypokinetic\/akinetic bowel sound and shock (four cases, 28.6% for each), and gangrenous stool (two cases, 14.3%). SV was diagnosed by abdominal X-ray radiography in seven patients (50.0%), at laparotomy in five cases (35.7%), and by computed tomography in two patients (14.3%). Emergency surgery was required in 12 cases (85.7%), while endoscopic detorsion was recently performed in two cases (14.3%) and elective surgery was added in one (7.1%). Mortality and morbidity were seen in four cases (28.6%) for each.\nConclusion: Although childhood SV is rare, it is still a critical area due to its relatively poor anamnestic inability, diagnostic difficulty, and prognostic outcome. However, diagnostic efficacy of CT, therapeutic contribution of endoscopic detorsion, and recurrence-preventive effect of elective laparoscopic surgery are important advances during the recent years.<\/jats:p>","DOI":"10.12669\/pjms.42.9.19557","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T10:04:12Z","timestamp":1787652252000},"page":"2370-2374","source":"Crossref","is-referenced-by-count":0,"title":["Childhood sigmoid volvulus"],"prefix":"10.12669","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5871-5688","authenticated-orcid":false,"given":"Mesud","family":"Fakirullahoglu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8180-2827","authenticated-orcid":false,"given":"Metin","family":"Yildiz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4658-5254","authenticated-orcid":false,"given":"Rifat","family":"Peksoz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3657-3620","authenticated-orcid":false,"given":"Esra","family":"Disci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabri Selcuk","family":"Atamanalp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4935","published-online":{"date-parts":[[2026,8,25]]},"container-title":["Pakistan Journal of Medical Sciences"],"original-title":[],"link":[{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/download\/19557\/11631","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/download\/19557\/11631","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T10:04:13Z","timestamp":1787652253000},"score":1,"resource":{"primary":{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/view\/19557"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,25]]},"references-count":0,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026,8,24]]}},"URL":"https:\/\/doi.org\/10.12669\/pjms.42.9.19557","relation":{},"ISSN":["1681-715X","1682-024X"],"issn-type":[{"value":"1681-715X","type":"electronic"},{"value":"1682-024X","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8,25]]}}}