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Article
May 22, 1915

INTESTINAL OBSTRUCTION DUE TO SIGMOID VOLVULUS: WITH REPORT OF A CASE OCCURRING IN A CHILD

JAMA. 1915;LXIV(21):1744-1745. doi:10.1001/jama.1915.02570470028008
Abstract

In December, 1912, I reported a study of 191 cases of intestinal obstruction, exclusive of external hernia.1 This series included 8 cases of sigmoid volvulus, all occurring in adult patients. Since that time I have added to the original group the records of 66 cases of intestinal obstruction, making the present number 257. Among the new cases is one of sigmoid volvulus occurring in a child of 6 years, which is herewith reported.

Acute obstruction is much more common in the small than in the large intestine, 201 to 56 being the proportion in this series. Volvulus of the sigmoid occurred 10 times in the series, making about 18 per cent, of the large intestine cases, and 3.8 per cent. of all forms of obstruction. Volvulus of the small intestine occurred 11 times, twice in children. Of the 257 cases, 41 occurred in children under 12. Eighteen of these

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