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Cecal volvulus is rare in children, causing acute intestinal obstruction in only six of 189 pediatric surgeries. This study examines the causes, treatments, and mortality factors for this uncommon condition.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Abdominal Emergencies
Background:
- Cecal volvulus, a twisting of the cecum, is an infrequent cause of acute intestinal obstruction in pediatric populations.
- It represents a rare surgical emergency in children, necessitating prompt diagnosis and intervention.
Purpose of the Study:
- To investigate the incidence, etiology, and management of cecal volvulus in children.
- To identify factors influencing mortality in pediatric cases of cecal volvulus.
Main Methods:
- Retrospective review of 189 pediatric patients operated on for acute intestinal obstruction between 1970 and 1977.
- Analysis of case data focusing on six identified instances of cecal volvulus.
Main Results:
- Cecal volvulus was the cause of acute intestinal obstruction in only six out of 189 pediatric surgical cases during the study period.
- Etiological factors, treatment strategies, and outcomes were analyzed for these specific pediatric cases.
Conclusions:
- Cecal volvulus is an uncommon but significant cause of acute intestinal obstruction in children.
- Understanding the etiology and optimizing treatment are crucial for reducing mortality in pediatric cecal volvulus.
Abstract:
Volvulus of the cecum is very uncommon in children. Of 189 children operated upon from 1970-1977 for acute intestinal obstruction, in only six children, was cecal volvulus the cause. The etiology and treatment and factors affecting mortality are discussed.