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Published on: October 29, 2014
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Pediatric colonic volvulus: A single-institution experience and review
Sami Tannouri1, Aditi Hendi2, Elizabeth Gilje3
1Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Journal of Pediatric Surgery
|February 17, 2017
Summary
Pediatric colonic volvulus is rare, with diagnosis often delayed. Barium enema and CT scans are more effective than plain radiography for diagnosing this condition in children.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Diagnostic Imaging
Background:
- Pediatric colonic volvulus is an uncommon and underreported condition.
- Literature is limited to case reports and small series.
- This study analyzes 11 cases over 15 years at a single institution.
Purpose of the Study:
- To analyze workup and diagnostic methods for pediatric colonic volvulus.
- To evaluate the effectiveness of different imaging modalities.
- To review treatment strategies for this condition.
Main Methods:
- Retrospective chart review of 11 pediatric cases (2000-2015).
- Analysis of presenting symptoms, risk factors, and imaging results.
- Review of surgical interventions and outcomes.
Main Results:
- Common symptoms include abdominal pain and distention.
- Risk factors include prior surgery, neurodevelopmental disorders, and constipation.
- Barium enema (100%) and CT (55.6%) were more accurate than plain radiography (22.2%) for diagnosis.
- Cecum and sigmoid were most affected.
- Resection and ostomy were common surgical treatments.
Conclusions:
- High clinical suspicion warrants advanced imaging (CT or contrast enema) over plain radiography.
- CT is specific for diagnosis and detects complications like ischemia.
- Further research is needed to establish best practices for this life-threatening condition.
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