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Intestinal volvulus and right-sided blunt trauma: consequence or coincidence?
1Department of Paediatric Surgery, Women's and Children's Hospital, Adelaide, Australia.
Pediatric Surgery International
|June 26, 1998
Summary
Blunt trauma can cause intestinal volvulus in children, leading to bile-stained vomiting. This condition may be linked to prior infant episodes, even if previously deemed normal.
Area of Science:
- Pediatric surgery
- Gastrointestinal disorders
- Trauma care
Background:
- Intestinal volvulus is a rare but serious condition in children.
- Bile-stained vomiting in infants can have various causes.
- Traumatic injuries can precipitate intra-abdominal complications.
Observation:
- Two boys presented with bile-stained vomiting after significant right-sided blunt trauma.
- Both boys had sustained fractured right femurs.
- Both patients were diagnosed with intestinal volvulus.
Findings:
- The boys had a history of bile-stained vomiting in infancy.
- These prior infant episodes were investigated and considered normal at the time.
- Blunt trauma appears to be a precipitating factor for intestinal volvulus in these cases.
Implications:
- This case highlights the importance of considering intestinal volvulus in children with bile-stained vomiting post-trauma.
- Previous normal investigations for infantile bile-stained vomiting do not exclude later volvulus.
- Further research into the link between trauma and pediatric intestinal volvulus is warranted.