Volvulus of the transverse and sigmoid colon

A case of transverse and sigmoid-colon volvulus and a discussion of the probable mechanism of large-bowel volvulus (LBV) in children and its management is presented. A 5-year-old male with cerebral palsy presented with transverse-colon and subsequently sigmoid volvulus. The child underwent resection...

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Bibliographic Details
Published in:Pediatric surgery international 2000, Vol.16 (7), p.522-524
Main Authors: SAMUEL, M, BODDY, S. A, CAPPS, S
Format: Article
Language:English
Subjects:
Abdominal Pain - etiology
Anastomosis, Surgical - methods
Barium Sulfate
Biological and medical sciences
Child, Preschool
Colonic Diseases - congenital
Colonic Diseases - diagnosis
Colonic Diseases - diagnostic imaging
Colonic Diseases - surgery
Constipation - etiology
Contrast Media
Diagnosis, Differential
Diarrhea - etiology
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Intestinal Obstruction - diagnosis
Intestinal Obstruction - diagnostic imaging
Intestinal Obstruction - surgery
Male
Medical sciences
Other diseases. Semiology
Radiography
Sigmoid Diseases - diagnosis
Sigmoid Diseases - surgery
Stomach, duodenum, intestine, rectum, anus
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Treatment Outcome
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Description
Summary:A case of transverse and sigmoid-colon volvulus and a discussion of the probable mechanism of large-bowel volvulus (LBV) in children and its management is presented. A 5-year-old male with cerebral palsy presented with transverse-colon and subsequently sigmoid volvulus. The child underwent resection of the involved segments with primary colocolic and colorectal anastomosis, respectively. The recovery was uneventful. LBV in children is due to congenital anomalous or absent ligamentous fixation of the colon. Constipation is probably the result of the volvulus. Resection of the involved segment and primary anastomosis is the definitive treatment.
ISSN:0179-0358
1437-9813
DOI:10.1007/s003839900333