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Splenic flexure colonic volvulus: a pediatric case report.
Chih-Chung Hsueh1, Twei-Shiun Jaw, Jao-Yu Lin
1Department of Emergency Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
The Kaohsiung Journal of Medical Sciences
|March 31, 2007
Summary
Splenic flexure volvulus (SFV) is a rare cause of pediatric intestinal obstruction. This case highlights diagnosis and successful surgical detorsion in a young boy with neurological conditions.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Radiology
Background:
- Colonic volvulus, particularly at the splenic flexure, is rare in children.
- Intestinal obstruction in pediatric patients requires prompt diagnosis and management.
Observation:
- A 21-month-old boy with cerebral palsy and epilepsy presented with symptoms of intestinal obstruction.
- Radiographic findings included a distended colon and a "coffee bean sign."
- Barium enema demonstrated a "bird beak sign" at the splenic flexure.
Findings:
- The diagnosis of splenic flexure volvulus (SFV) was confirmed.
- Surgical exploration and detorsion of the SFV were performed.
- The patient experienced no recurrence over a 3-year follow-up period.
Implications:
- This case underscores the importance of considering rare diagnoses like SFV in pediatric intestinal obstruction.
- Early diagnosis and intervention are crucial for favorable outcomes.
- Management of SFV in children with comorbidities can be successful.
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