2018
DOI: 10.1055/s-0037-1612634
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Cecal Volvulus following a Right Nephrectomy for Wilms' Tumor: Should We Need to Close the Lateral Peritoneum?

Abstract: Wilms' tumor (WT) accounts for 90% of all pediatric renal malignant tumors. The most common postoperative complication based on the National Wilms' Tumor Study is small bowel obstruction. We report on a 2-year-old girl with postoperative bowel obstruction following a right nephrectomy for WT. The patient was reintervened 48 hours after surgery and a cecal volvulus was found. Here, we will describe possible causes of this postoperative complication and discuss management.

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Cited by 4 publications
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“…W ilms' tumor is one of the most common malignant tumors in children, which is also known as embryonal tumor or renal embryonal tumor (Gonzalez-Urquijo et al, 2018;Guerreiro et al, 2018). In fact, Wilms' tumor is the high widespread solid tumors (Petiti et al, 2018).…”
Section: Introductionmentioning
confidence: 99%
“…W ilms' tumor is one of the most common malignant tumors in children, which is also known as embryonal tumor or renal embryonal tumor (Gonzalez-Urquijo et al, 2018;Guerreiro et al, 2018). In fact, Wilms' tumor is the high widespread solid tumors (Petiti et al, 2018).…”
Section: Introductionmentioning
confidence: 99%
“…In those above this age range, volvulus and intestinal malrotation can be mistaken for a range of conditions, such as pancreatitis, abdominal tuberculosis and gastro-oesophageal reflux, or even dismissed as a functional disorder [ 2 ]. This risk of misdiagnosis is exacerbated by an increased propensity for more atypical and chronic presentations of volvulus in the older population compared to those below the age of one [ 12 , 13 ]. Atypical presentations of volvulus most commonly include recurrent colicky abdominal pain and non-bilious vomiting [ 2 ].…”
Section: Discussionmentioning
confidence: 99%
“…The diagnosis of CV can be challenging because the pattern of presentation varies from one patient to another and preoperative diagnosis is rarely achieved in most cases [4]. CV can also occur as a post-operative complication of certain surgeries like nephrectomy for Wilms' tumor [8]. However, this is an unusual complication because post-operative adhesions and intussusception have been reported as the most common causes of intestinal obstruction following nephrectomy [9].…”
Section: Discussionmentioning
confidence: 99%