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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
Summary
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.
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