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Transverse colon volvulus in pediatric patients
M G Mercado-Deane1, E M Burton, C G Howell
1Department of Radiology, Medical College of Georgia, Augusta 30912, USA.
Pediatric Radiology
|January 1, 1995
Summary
Transverse colon volvulus is a rare pediatric condition. This case highlights successful surgical detorsion for a 360-degree volvulus, confirmed by barium enema imaging.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Radiology
- Abdominal Imaging
Background:
- Volvulus of the transverse colon is an uncommon cause of intestinal obstruction in children.
- Early diagnosis and surgical intervention are crucial for favorable outcomes.
Observation:
- A pediatric patient presented with symptoms suggestive of bowel obstruction.
- Radiographic imaging, including barium enema, revealed characteristic findings of volvulus.
- The barium enema showed a 'bird beak' appearance and an air-contrast mirror image.
Findings:
- Surgical exploration confirmed a 360-degree volvulus of the transverse colon.
- The condition was successfully treated by detorsion of the affected bowel segment.
Implications:
- This case adds to the limited literature on pediatric transverse colon volvulus.
- It underscores the importance of prompt diagnostic imaging and surgical management.
- Successful detorsion offers a viable treatment option for this rare pediatric surgical emergency.