Transverse Colonic Volvulus in a Child: Successful Management with Decompression and Delayed Laparoscopic Colopexy

We report a case of colonic volvulus in a 7-year-old child with normal development. Operative findings at laparotomy showed a 270-degree transverse colonic volvulus (TCV), with colonic ligamentous attachment abnormalities. A loop ileostomy was formed following detorsion, with delayed laparoscopic co...

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Detalles Bibliográficos
Autores principales: Smith, Caroline, Cho, Alexander, Tsang, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2013
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4335958/
https://www.ncbi.nlm.nih.gov/pubmed/25755953
http://dx.doi.org/10.1055/s-0033-1345102
Descripción
Sumario:We report a case of colonic volvulus in a 7-year-old child with normal development. Operative findings at laparotomy showed a 270-degree transverse colonic volvulus (TCV), with colonic ligamentous attachment abnormalities. A loop ileostomy was formed following detorsion, with delayed laparoscopic colopexy. This is the first case to describe decompression by diversion ileostomy as acute management of TCV with delayed laparoscopic colopexy, so avoiding unnecessary bowel resection.

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