Related Experiment Video
Updated: Aug 13, 2026
04:14
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Caecal Volvulus: A Report of Three Paediatrics Cases
Benmassaoud Zineb1, Fatoumata Binta Baldé1, Othmane Alaoui1,2
1Department of Pediatric Surgery, Hassan II University Hospital, Sidi Mohammed Ben Abdellah University, Faz, Morocco.
African Journal of Paediatric Surgery : AJPS
|August 12, 2026
Summary
Caecal volvulus, a rare condition in children, requires prompt management. Surgical interventions like de-rotation, cecopexy, or resection with anastomosis lead to good outcomes, emphasizing its emergency nature.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Abdominal Emergencies
Background:
- Caecal volvulus is a rare but serious condition in children, often associated with intestinal malrotation or lack of adhesion.
- It presents as an acute or sub-acute intestinal obstruction, with risks of necrosis and perforation.
Purpose of the Study:
- To present three pediatric cases of caecal volvulus.
- To discuss the diagnostic approaches and surgical management strategies.
- To highlight the importance of timely intervention for favorable outcomes.
Main Methods:
- Case series presentation of three children diagnosed with caecal volvulus.
- Diagnostic modalities included ultrasound, computed tomography (CT) scan, and perioperative findings.
- Surgical management involved de-rotation, cecopexy, and resection with anastomosis.
Main Results:
- Three pediatric patients (ages 6 and 11) presented with caecal volvulus.
- Diagnosis was confirmed via ultrasound, CT scan, and perioperative findings.
- Surgical interventions resulted in good clinical evolution for all patients.
Conclusions:
- Caecal volvulus is a rare pediatric surgical emergency requiring prompt diagnosis and intervention.
- Management strategies vary based on findings, including de-rotation, cecopexy, or resection and anastomosis.
- Early surgical management is crucial to prevent complications and ensure favorable outcomes.
Related Concept Videos
01:07Intestinal Obstruction II: Pathophysiology
Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
01:19Appendicitis
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
01:27Diverticular Disease of the Colon
Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
01:22Appendicitis-I: Introduction
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...