Splenic flexure volvulus in a child with chronic idiopathic intestinal pseudo-obstruction syndrome.

Abstract

Splenic flexure volvulus in a child with chronic idiopathic intestinal pseudo-obstruction syndrome is extremely rare. Here we present a case report of this unusual condition in a 7-year-old girl. The splenic flexure volvulus was managed by pressure reduction from the cecal antegrade continence enema, after which elective resection of the splenic flexure and primary anastomosis were performed because she had similar attacks during 4 months after the first detorsion. Postoperatively she made an uneventful recovery. Possible factors of pathogenesis and therapeutic measures are discussed.

• Authors: Akinori Osuka, Ryoichi Ikegami, Yoshio Watanabe
• Journal: Pediatric surgery international (Pediatr Surg Int) Vol. 22 Issue 10 Pg. 833-5 (Oct 2006) ISSN: 0179-0358 [Print] Germany
• PMID: 16832673 (Publication Type: Case Reports, Journal Article)

Topics

• Biopsy
• Child
• Colectomy (methods)
• Colon, Transverse
• Colonic Pseudo-Obstruction (complications, diagnosis, surgery)
• Diagnosis, Differential
• Female
• Humans
• Intestinal Volvulus (diagnosis, etiology, surgery)
• Radiography, Abdominal
• Syndrome