Position of a sigmoid colon in right iliac fossa in children: A retrospective study

• Main Authors: Akshay Kumar Saxena, Kushaljit Singh Sodhi, Sreeharsha Tirumani, Hina Arif Mumtaz, Katragadda Lakshmi Narasimha Rao, Niranjan Khandelwal
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2011-01-01
• Series: Journal of Indian Association of Pediatric Surgeons
• Subjects: Children; radiographs; sigmoid colon
• Online Access: http://www.jiaps.com/article.asp?issn=0971-9261;year=2011;volume=16;issue=3;spage=93;epage=96;aulast=Saxena

Aim: The aim was to identify the position of sigmoid colon in children and discuss its clinical significance. Materials and Methods: Ninety-one contrast enema studies were retrospectively evaluated and the position of sigmoid colon categorized as below: Left lower quadrant, right lower quadrant, midline, and indeterminate. Results: The position of sigmoid colon in the right lower quadrant, left lower quadrant, midline, and indeterminate was 32 (35.16%), 33 (36.26%), 12 (13.19%), and 14 (15.38%), respectively. There was no statistically significant difference in mean age (P = 0.87) or gender prevalence (P = 0.49) for different positions of the sigmoid colon. Conclusion: The sigmoid colon occupies the right lower quadrant in a large number of children. Awareness of this finding is of crucial importance in correct interpretation of abdominal radiographs in the emergency room.