Splenic Flexure Colonic Volvulus: A Pediatric Case Report
Volvulus of the colon is an unusual cause of intestinal obstruction in the pediatric population. Splenic flexure colonic volvulus is the most uncommon site in children. We report a case of splenic flexure volvulus (SFV) in a 21-month-old boy with underlying cerebral palsy and epilepsy. He experience...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2007-04-01
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| Series: | Kaohsiung Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1607551X09704000 |
| _version_ | 1819160066007236608 |
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| author | Chih-Chung Hsueh Twei-Shiun Jaw Jao-Yu Lin Hon-Man Chan |
| author_facet | Chih-Chung Hsueh Twei-Shiun Jaw Jao-Yu Lin Hon-Man Chan |
| author_sort | Chih-Chung Hsueh |
| collection | DOAJ |
| description | Volvulus of the colon is an unusual cause of intestinal obstruction in the pediatric population. Splenic flexure colonic volvulus is the most uncommon site in children. We report a case of splenic flexure volvulus (SFV) in a 21-month-old boy with underlying cerebral palsy and epilepsy. He experienced abdominal distension, bilious vomiting and absence of bowel movement for 2 days. Abdominal radiography showed a proximal distended colon and a “coffee bean sign” at the left upper quadrant. Barium enema revealed a “bird beak sign” at the splenic flexure, which confirmed the diagnosis of SFV. Detorsion of SFV occurred while undergoing exploratory laparotomy. He received regular follow-up in the subsequent 3 years without recurrence. |
| first_indexed | 2024-12-22T16:50:32Z |
| format | Article |
| id | doaj.art-fc33c41a4f2a4331b70716ebd3b173b7 |
| institution | Directory Open Access Journal |
| issn | 1607-551X |
| language | English |
| last_indexed | 2024-12-22T16:50:32Z |
| publishDate | 2007-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-fc33c41a4f2a4331b70716ebd3b173b72022-12-21T18:19:36ZengWileyKaohsiung Journal of Medical Sciences1607-551X2007-04-0123420721010.1016/S1607-551X(09)70400-0Splenic Flexure Colonic Volvulus: A Pediatric Case ReportChih-Chung Hsueh0Twei-Shiun Jaw1Jao-Yu Lin2Hon-Man Chan3Department of Emergency Medicine, Kaohsiung, TaiwanDepartment of Radiology, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Emergency Medicine, Kaohsiung, TaiwanVolvulus of the colon is an unusual cause of intestinal obstruction in the pediatric population. Splenic flexure colonic volvulus is the most uncommon site in children. We report a case of splenic flexure volvulus (SFV) in a 21-month-old boy with underlying cerebral palsy and epilepsy. He experienced abdominal distension, bilious vomiting and absence of bowel movement for 2 days. Abdominal radiography showed a proximal distended colon and a “coffee bean sign” at the left upper quadrant. Barium enema revealed a “bird beak sign” at the splenic flexure, which confirmed the diagnosis of SFV. Detorsion of SFV occurred while undergoing exploratory laparotomy. He received regular follow-up in the subsequent 3 years without recurrence.http://www.sciencedirect.com/science/article/pii/S1607551X09704000colonsplenic flexurevolvulus |
| spellingShingle | Chih-Chung Hsueh Twei-Shiun Jaw Jao-Yu Lin Hon-Man Chan Splenic Flexure Colonic Volvulus: A Pediatric Case Report Kaohsiung Journal of Medical Sciences colon splenic flexure volvulus |
| title | Splenic Flexure Colonic Volvulus: A Pediatric Case Report |
| title_full | Splenic Flexure Colonic Volvulus: A Pediatric Case Report |
| title_fullStr | Splenic Flexure Colonic Volvulus: A Pediatric Case Report |
| title_full_unstemmed | Splenic Flexure Colonic Volvulus: A Pediatric Case Report |
| title_short | Splenic Flexure Colonic Volvulus: A Pediatric Case Report |
| title_sort | splenic flexure colonic volvulus a pediatric case report |
| topic | colon splenic flexure volvulus |
| url | http://www.sciencedirect.com/science/article/pii/S1607551X09704000 |
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