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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
Summary
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.