Pediatric colonic volvulus: A single-institution experience and review

Tannouri, Sami; Hendi, Aditi; Gilje, Elizabeth; Grissom, Leslie E.; Katz, Douglas

doi:10.1016/j.jpedsurg.2017.01.063

Cited by 26 publications

(50 citation statements)

References 23 publications

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“…In children, colonic volvulus is a rare cause of bowel obstruction [1,5]. In a single-institution report of 11 cases of colonic volvulus over 15 years, one case involved the transverse colon and another one involved both the cecum and the transverse colon [5].…”

Section: Discussionmentioning

confidence: 99%

“…In a single-institution report of 11 cases of colonic volvulus over 15 years, one case involved the transverse colon and another one involved both the cecum and the transverse colon [5]. Diagnosis is challenging due to unspecific symptoms and signs, being the abdominal pain and distension the most common [4].…”

Section: Discussionmentioning

confidence: 99%

“…The most common site of colonic volvulus in adults is the sigmoid colon and transverse colonic volvulus represents less than 4% of all with a mortality of a 35% [1][2][3][4]. In children, the transverse colonic volvulus is rare, with an unknown incidence [1,5]. Less than 30 cases of pediatric transverse volvulus have been reported in the literature.…”

Section: Introductionmentioning

confidence: 99%

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Subacute Pediatric De Novo- Transverse Colonic Volvulus: A Rare Cause of Bowel Obstruction Case Report

Serna¹

2017

MOJS

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Introduction: Colonic volvulus represents 3-5% of all cases of bowel obstruction in adults, being the sigmoid colon the most common site and the transverse colonic volvulus the less common site. In the pediatric population, colonic volvulus is rare enough to not know it's true incidence. Presentation of Case:We present the case of a 16 year-old female with a history of chronic constipation and abdominal bloating that came to the emergency department with acute abdominal pain. Physical examination showed abdominal distension and pain in left mid-abdomen. A CT scan confirmed the presence of a transverse colonic volvulus. The patient was surgically intervened and a transverse colonic resection was done in a two-step procedure with an initially failed simple detorsion. A one-year follow up has been uneventful. Discussion: Because of the rare presentation of transverse volvulus in children, a consensus of the management of this entity has not been established. The surgical approach is based on the clinical scenario, the bowel's viability and the available resources. Conclusion:It seems that the most appropriate management is bowel resection with primary anastomosis when possible.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Subacute Pediatric De Novo- Transverse Colonic Volvulus: A Rare Cause of Bowel Obstruction Case Report

Serna¹

2017

MOJS

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“…Usage and distribution for commercial purposes as well as any distribution of modified material requires written permission. Henriques-Coelho/Pinho-Sousa treated [2]. The clinical presentation can be acute with intense abdominal pain, abdominal distention, and vomiting, or chronic with vague symptoms.…”

Section: Introductionmentioning

confidence: 99%

“…The clinical presentation can be acute with intense abdominal pain, abdominal distention, and vomiting, or chronic with vague symptoms. Physical examination results are unspecific, and the diagnosis relies on a high clinical suspicion and further complementary studies [1,2]. There is no consensus on the best diagnostic imaging modality, but the procedures most often performed on children remain abdominal radiography and CT.…”

Section: Introductionmentioning

confidence: 99%

Sigmoid Volvulus in Children: Diagnosis and Therapeutic Challenge

Carmo

Amaral

Trindade³

et al. 2018

GE Port J Gastroenterol

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Background: Sigmoid volvulus is a rare condition in children. Early diagnosis increases the success of nonsurgical treatment in the emergency department, but posterior elective surgery is important due to the risk of recurrence. Methods/Conclusions: We present the case of a healthy 16-yearold girl with recurrent volvulus and successful endoscopic treatment followed by elective surgery. ResumoIntrodução: A ocorrência de um vólvulo do sigmoide na criança é raro, constituindo desta forma um desafio diagnóstico. A identificação precoce desta patologia é essencial pois permite que a redução do vólvulo seja efetuada numa primeira abordagem por métodos não cirúrgicos, e quanto mais precoce na história da doença maior a taxa de sucesso e menor o risco de complicações associadas. Métodos/Conclusões: No entanto a cirurgia eletiva posterior é mandatória pelo alto risco de recidiva. Os autores apresentam o caso de uma adolescente sem antecedentes patológicos de relevo com um vólvulo sigmoideu recorrente submetido a redução endoscópica com sucesso.

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Acute and Subacute Intestinal Obstructions

Blondiaux

Mar

2017

Imaging Acute Abdomen in Children

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Pediatric colonic volvulus: A single-institution experience and review

Cited by 26 publications

References 23 publications

Subacute Pediatric De Novo- Transverse Colonic Volvulus: A Rare Cause of Bowel Obstruction Case Report

Subacute Pediatric De Novo- Transverse Colonic Volvulus: A Rare Cause of Bowel Obstruction Case Report

Sigmoid Volvulus in Children: Diagnosis and Therapeutic Challenge

Acute and Subacute Intestinal Obstructions

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