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

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

Abstract 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 laparo...

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Veröffentlicht in:European journal of pediatric surgery reports 2013-06, Vol.1 (1), p.048-050
Hauptverfasser: Smith, Caroline, Cho, Alexander, Tsang, Thomas
Format: Artikel
Sprache:eng
Schlagworte:
Case Report
large bowel volvulus
minimal access surgery
transverse colon
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Zusammenfassung:Abstract 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.
ISSN:2194-7619
2194-7627
DOI:10.1055/s-0033-1345102