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Recurrent colonic volvulus in children

A Ismail1

  • 1Hamad Medical Corporation, Doha, Qatar.

Journal of Pediatric Surgery
|January 20, 1998
PubMed

Insights

Recurrent intestinal obstruction in children, often from colonic volvulus, can be missed due to spontaneous resolution. Definitive treatment for this rare condition should be surgical, not nonoperative, beyond emergency management.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Volvulus Pathophysiology

Background:

  • Colonic volvulus is a rare cause of intestinal obstruction in pediatric patients.
  • The condition's intermittent self-rectifying nature can lead to diagnostic delays or missed diagnoses.

Observation:

  • The study presents two pediatric cases involving sigmoid volvulus and combined sigmoid and cecal volvulus.
  • Clinical presentation and diagnostic challenges associated with colonic volvulus in children are discussed.

Findings:

  • Recurrent colonic volvulus necessitates prompt diagnosis and intervention in children.
  • Nonoperative management is considered insufficient for definitive treatment in pediatric cases.

Implications:

  • Early surgical intervention is crucial for managing recurrent colonic volvulus in children.
  • This study underscores the importance of surgical treatment for long-term resolution and prevention of recurrence.

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