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Published on: February 28, 2025

Rare case of pediatric cecal volvulus

Khizer Mansoor1, Sa'ad Al Hamidi, Abdul Mannan Khan

  • 1Department of Pediatric Surgery, Riyadh Medical Complex, Riyadh, KSA.

Journal of Indian Association of Pediatric Surgeons
|April 9, 2010
PubMed

Insights

Pediatric cecal volvulus, a rare condition, can cause severe abdominal pain and vomiting in children. Surgical intervention involving band excision and cecal decompression is effective for treatment.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Congenital Abnormalities

Background:

  • Cecal volvulus is a rare but serious cause of intestinal obstruction in children.
  • Congenital bands and malfixation of the cecum are predisposing factors for pediatric cecal volvulus.

Observation:

  • An 11-year-old female presented with acute abdominal pain, vomiting, and constipation.
  • Exploratory laparotomy was performed due to suspected intestinal obstruction.

Findings:

  • The surgery revealed a cecal volvulus caused by a congenital band and malfixation of the cecum.
  • Treatment involved excision of the congenital band, derotation, and decompression of the cecum via appendiceal stump suction.

Implications:

  • Early diagnosis and surgical management are crucial for favorable outcomes in pediatric cecal volvulus.
  • Understanding the role of congenital anomalies in cecal volvulus can aid in preventing recurrence.

Keywords:
Cecal volvulusintestinal obstructionmalrotation

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