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Transverse colonic stenosis
M Takahashi1, F Sasaki, T Namieno
1First Department of Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
Pediatric Surgery International
|May 1, 1998
Insights
A child experienced recurrent abdominal pain, later diagnosed with a colonic obstruction. Surgical resection of the affected transverse colon segment led to a full recovery and symptom resolution.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Colorectal Surgery
Background:
- Episodic lower abdominal pain in children can indicate various gastrointestinal issues.
- Colonic obstruction is a serious condition requiring prompt diagnosis and intervention.
Observation:
- A 3-year-old child presented with recurrent episodes of lower abdominal pain.
- During the eighth episode, a palpable mass was noted in the left upper quadrant.
- A barium enema identified a stenotic segment in the transverse colon.
Findings:
- Surgical resection of the stenotic transverse colon segment was performed.
- The postoperative course was uneventful, with no complications.
- The child has remained symptom-free following the intervention.
Implications:
- Early diagnosis and surgical management of colonic stenosis are crucial for pediatric patients.
- Complete resolution of symptoms can be achieved with appropriate treatment.
- This case highlights the importance of thorough investigation for persistent abdominal pain in children.
Abstract:
A 3-year child presented with episodic lower abdominal pain; during the eighth attack, a mass was palpable in the left upper quadrant, and a barium enema revealed a stenotic area in the transverse colon. This was resected and an uneventful postoperative course followed. Subsequently, the child has remained symptom-free. instruments are no longer in use.