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Caecal volvulus in a child: an unusual postoperative complication

E T Simpson1, S Keating, J Price

  • 1Department of Paediatric Surgery, Royal Canberra Hospital, ACT.

The Australian and New Zealand Journal of Surgery
|November 1, 1991
PubMed

Insights

A child developed intestinal obstruction after surgery for gastro-oesophageal reflux. Caecal volvulus was diagnosed and treated with right hemicolectomy, highlighting diagnostic and management strategies.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Surgical Pathology

Background:

  • Severe gastro-oesophageal reflux in a pediatric patient necessitates surgical intervention.
  • Fundoplication is a common surgical procedure for managing gastro-oesophageal reflux.

Observation:

  • A 2.5-year-old dysmorphic child underwent elective fundoplication for severe gastro-oesophageal reflux.
  • Postoperatively, the child exhibited progressive signs of intestinal obstruction.

Findings:

  • Plain radiography suggested caecal volvulus, which was confirmed during laparotomy.
  • The condition was successfully treated by a right hemicolectomy.

Implications:

  • This case underscores the importance of considering caecal volvulus in postoperative intestinal obstruction following fundoplication.
  • Understanding predisposing factors and diagnostic modalities is crucial for timely surgical management.
  • Prompt surgical intervention, including hemicolectomy when necessary, can lead to favorable outcomes in pediatric caecal volvulus.

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