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From the Cecum to the Sigmoid: Twisted Colon in the Pediatric Population
Colonic volvulus (CV) is the third leading cause of colonic obstruction in adults. In infants and children, this is exceedingly rare, with only sporadic cases reported so far. We present two cases of CV to highlight the differences in etiology, presentation, diagnosis, and treatment of this conditio...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8516025/ https://www.ncbi.nlm.nih.gov/pubmed/34660156 http://dx.doi.org/10.7759/cureus.17974 |
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author | Parrado, Raphael H Rubalcava, Nathan S Davenport, Katherine P |
author_facet | Parrado, Raphael H Rubalcava, Nathan S Davenport, Katherine P |
author_sort | Parrado, Raphael H |
collection | PubMed |
description | Colonic volvulus (CV) is the third leading cause of colonic obstruction in adults. In infants and children, this is exceedingly rare, with only sporadic cases reported so far. We present two cases of CV to highlight the differences in etiology, presentation, diagnosis, and treatment of this condition. The first patient is a 12-year-old boy with no previous surgeries who presented with four days of abdominal pain. Imaging showed a sigmoid volvulus that was decompressed endoscopically, and he was discharged. He had a contrast enema showing an abnormal rectosigmoid ratio. At the time of the rectal biopsy four weeks later, he was found to have a recurrence, at which point definitive operative treatment was pursued. The second patient is a 17-year-old boy who presented with five days of abdominal pain and CT findings concerning for ischemic volvulus. This prompted emergent operative intervention, where a cecal volvulus was discovered as the result of a congenital band. The band was divided without complication. Pediatric CV is a rare condition that might be severe in some cases. High suspicion, prompt diagnosis, and treatment are essential to prevent early and long-term morbidity. |
format | Online Article Text |
id | pubmed-8516025 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-85160252021-10-15 From the Cecum to the Sigmoid: Twisted Colon in the Pediatric Population Parrado, Raphael H Rubalcava, Nathan S Davenport, Katherine P Cureus Pediatrics Colonic volvulus (CV) is the third leading cause of colonic obstruction in adults. In infants and children, this is exceedingly rare, with only sporadic cases reported so far. We present two cases of CV to highlight the differences in etiology, presentation, diagnosis, and treatment of this condition. The first patient is a 12-year-old boy with no previous surgeries who presented with four days of abdominal pain. Imaging showed a sigmoid volvulus that was decompressed endoscopically, and he was discharged. He had a contrast enema showing an abnormal rectosigmoid ratio. At the time of the rectal biopsy four weeks later, he was found to have a recurrence, at which point definitive operative treatment was pursued. The second patient is a 17-year-old boy who presented with five days of abdominal pain and CT findings concerning for ischemic volvulus. This prompted emergent operative intervention, where a cecal volvulus was discovered as the result of a congenital band. The band was divided without complication. Pediatric CV is a rare condition that might be severe in some cases. High suspicion, prompt diagnosis, and treatment are essential to prevent early and long-term morbidity. Cureus 2021-09-14 /pmc/articles/PMC8516025/ /pubmed/34660156 http://dx.doi.org/10.7759/cureus.17974 Text en Copyright © 2021, Parrado et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Pediatrics Parrado, Raphael H Rubalcava, Nathan S Davenport, Katherine P From the Cecum to the Sigmoid: Twisted Colon in the Pediatric Population |
title | From the Cecum to the Sigmoid: Twisted Colon in the Pediatric Population |
title_full | From the Cecum to the Sigmoid: Twisted Colon in the Pediatric Population |
title_fullStr | From the Cecum to the Sigmoid: Twisted Colon in the Pediatric Population |
title_full_unstemmed | From the Cecum to the Sigmoid: Twisted Colon in the Pediatric Population |
title_short | From the Cecum to the Sigmoid: Twisted Colon in the Pediatric Population |
title_sort | from the cecum to the sigmoid: twisted colon in the pediatric population |
topic | Pediatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8516025/ https://www.ncbi.nlm.nih.gov/pubmed/34660156 http://dx.doi.org/10.7759/cureus.17974 |
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