Rare case of cecal Volvulus reported in child with congenital dilated cardiomyopathy
Written By : Dr. Nandita Mohan
Medically Reviewed By : Dr. Kamal Kant Kohli
Published On 2020-11-16 10:30 GMT | Update On 2020-11-17 06:10 GMT
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Ahmed E. Shehata and colleagues from the Pediatric Surgery Department, Cairo University, Egypt reported that cecal volvulus should be kept in mind in a child presenting with signs suggestive of intestinal obstruction, according to their case report published in the International Journal of Surgery Case Reports.
Cecal volvulus (CV) is an extremely rare cause of intestinal obstruction in the pediatric age group. Cecal mobility, due to malfixation and malrotation, is the main cause. CV usually presents with constipation, abdominal pain, and distention. Common complications entail strangulation, ischemia, and gangrene.
Cecal volvulus (CV) in adults constitutes about 1% of the cases and it accounts for about 30% of cases of colonic volvulus. However, it's extremely rare in children, and its true incidence is not known.
Hence, the authors presented a unique case of cecal volvulus in a 3-year-old female with congenital cardiomyopathy.
The patient presented with constipation of 3 days duration, and a history of repeated attacks of bilious vomiting and abdominal bloating. There was no history of colic and her bowel habits were normal before this event. Physical examination revealed dehydration and distended abdomen.
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