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Radiology Oct 2021
Topics: Aged, 80 and over; Cholecystectomy; Female; Gallbladder; Gallbladder Diseases; Humans; Intestinal Volvulus; Tomography, X-Ray Computed
PubMed: 34282970
DOI: 10.1148/radiol.2021210055 -
Journal of Pediatric Surgery Nov 2016Neonatal sigmoid volvulus is a rare entity. It is associated with Hirschsprung's disease. Presentation is acute abdominal distention, vomiting and obstipation. Abdominal...
BACKGROUND
Neonatal sigmoid volvulus is a rare entity. It is associated with Hirschsprung's disease. Presentation is acute abdominal distention, vomiting and obstipation. Abdominal radiograph will show the "coffee bean" sign, but this is frequently missed and the diagnosis requires a high index of suspicion. Treatment options include contrast enema, colonoscopy or laparotomy, depending on the condition of the baby and local availability.
POPULATION AND RESULTS
During the last 6years, 6 infants with sigmoid volvulus were treated in our department. Four presented during the first 48h since birth, and 2 presented at the age of 2 and 7weeks of age. One child was operated and 5 had primary contrast enema with radiologic de-volvulus. Rectal biopsy was performed in all cases; three children had Hirschsprung's disease. Those with normal biopsies responded well to rectal washouts. Two patients had early one stage transanal pullthrough and one had 2 further occasions of sigmoid volvulus prior to definitive surgery. All three recovered with an uneventful course.
CONCLUSIONS
Neonatal sigmoid volvulus requires a high level of suspicion. Contrast enema is efficient for primary de-volvulus. Rectal biopsy should be performed and if positive for Hirschsprung's disease, surgery should be performed sooner rather than later.
Topics: Biopsy; Colonoscopy; Enema; Female; Follow-Up Studies; Hirschsprung Disease; Humans; Infant; Infant, Newborn; Intestinal Volvulus; Laparotomy; Male; Rectum; Retrospective Studies; Sigmoid Diseases; Treatment Outcome
PubMed: 27444245
DOI: 10.1016/j.jpedsurg.2016.06.017 -
Rozhledy V Chirurgii : Mesicnik... 2017Volvulus of the gallbladder is one of very rare diseases ranked among acute abdomen conditions. Only case reports are described in the literature. The disease presents...
INTRODUCTION
Volvulus of the gallbladder is one of very rare diseases ranked among acute abdomen conditions. Only case reports are described in the literature. The disease presents with acute biliary ailments, often reminiscent of acute cholecystitis. It is more common in frail elderly women and its preoperative diagnosis is very difficult, and therefore this finding is encountered intraoperatively in most cases.
CASE REPORT
In our case report we present the case of a female patient where the volvulus of the gallbladder was found as a surprising discovery during surgery.
CONCLUSION
Gallbladder volvulus is a rare disease that presents as acute abdomen. It is most often diagnosed intraoperatively. Cholecystectomy is the most appropriate therapeutic method.Key words: gallbladder volvulus - acute abdomen - floating gallbladder.
Topics: Aged; Female; Gallbladder Diseases; Humans; Intestinal Volvulus; Torsion Abnormality
PubMed: 28948803
DOI: No ID Found -
African Journal of Paediatric Surgery :... 2021Cecal volvulus is a rare complication of malfixation anomalies and intestinal malrotation in children. Only few cases have been reported. The rarity of the condition,...
Cecal volvulus is a rare complication of malfixation anomalies and intestinal malrotation in children. Only few cases have been reported. The rarity of the condition, frequently leads to diagnostic delay and complications. The best option for cecal volvulus repair remains unclear. Our aim is to increase the awareness of surgeons about cecal volvulus and to discuss its management.
Topics: Cecal Diseases; Child; Delayed Diagnosis; Humans; Intestinal Obstruction; Intestinal Volvulus
PubMed: 34341205
DOI: 10.4103/ajps.AJPS_43_20 -
Clinical Gastroenterology and... Sep 2018
Topics: Aged; Female; Hernia, Diaphragmatic; Humans; Intestinal Volvulus; Stomach Diseases
PubMed: 30005974
DOI: 10.1016/j.cgh.2017.10.035 -
BMJ Case Reports May 2021Sigmoid volvulus in paediatric patients is a rare but potentially life-threatening condition. Since 1940, only 100 cases have been reported. There are no consensual...
Sigmoid volvulus in paediatric patients is a rare but potentially life-threatening condition. Since 1940, only 100 cases have been reported. There are no consensual guidelines for juvenile sigmoid volvulus unlike in adults, where the condition and the treatment is well described. We report a case of a 12-year-old patient, who presented with uncharacteristic symptoms of mild abdominal discomfort and lack of passage of stool. A CT-scan showed a sigmoid volvulus and emergency resection was performed with placement of a colostomy. With this case, we want to emphasise juvenile sigmoid volvulus as a probable differential diagnosis when symptoms of abdominal distress and constipation occur.
Topics: Adult; Child; Colectomy; Colostomy; Constipation; Humans; Intestinal Volvulus; Sigmoid Diseases
PubMed: 33980558
DOI: 10.1136/bcr-2021-241869 -
Pediatric Annals Jul 2016Intestinal rotation abnormality (IRA) predisposes to lethal midgut volvulus. An understanding of intestinal development illustrates the process of normal intestinal...
Intestinal rotation abnormality (IRA) predisposes to lethal midgut volvulus. An understanding of intestinal development illustrates the process of normal intestinal rotation and fixation. An appreciation of the clinical presentation and consequences of missed IRA will enhance clinical suspicion and timely evaluation. Selecting the appropriate imaging modality to diagnose IRA requires an understanding of the benefits and limitations of each. The Ladd's procedure continues to be the appropriate surgical treatment for IRA with or without volvulus. Laparoscopy has emerged as an option for the diagnosis and treatment of IRA. Populations in which IRA is always associated, but a Ladd's procedure rarely required, include patients with congenital diaphragmatic hernia and abdominal wall defects. Prevalence of IRA is higher in children with congenital heart disease and heterotaxy syndrome; asymptomatic patients require multidisciplinary consideration of the risks and benefits of screening for IRA, whether a Ladd's procedure is required, and the timing thereof. [Pediatr Ann. 2016;45(7):e247-e250.].
Topics: Child; Humans; Intestinal Volvulus; Intestines; Laparoscopy; Rotation
PubMed: 27403672
DOI: 10.3928/00904481-20160602-01 -
Prenatal Diagnosis Feb 2022To conduct a review of the literature on foetal volvulus with emphasis on prenatal imaging, pregnancy characteristics and clinical outcomes. (Review)
Review
OBJECTIVE
To conduct a review of the literature on foetal volvulus with emphasis on prenatal imaging, pregnancy characteristics and clinical outcomes.
METHODS
A review of all published cases of foetal volvulus diagnosed prenatally and indexed in Medline, EBSCOhost, CINAHL, SOCIndex and Healthy Policy Reference Centre. Studies without antenatal sonographic signs of foetal volvulus and without a postpartum surgical diagnosis were excluded. Data were analysed for frequencies and distributions and tested for statistical significance.
RESULTS
Eighty-eight cases of foetal volvulus were identified from 58 published case reports/series. The most common ultrasound findings were dilated bowel/stomach (77.3%), polyhydramnios (30.7%) and whirlpool/snail sign (28.4%). Median gestation at diagnosis was 31.9 weeks (IQR 27-34) and mean gestation at delivery was 34.5 weeks (SD 2.8). Underlying aetiology included intestinal malrotation (15.9%), cystic fibrosis (14.8% of all cases, 32.5% of tested cases) and abnormal mesenteric fixation (12.5%). Complications included intestinal atresia (36.4%) and foetal anaemia (9.1%). The overall perinatal mortality rate was 14.5%.
CONCLUSION
Foetal volvulus is a rare condition with high rates of preterm birth and perinatal mortality. Intestinal malrotation and cystic fibrosis are common predisposing causes, although the majority are idiopathic. Bowel and/or gastric dilatation is by far the most common sonographic finding.
Topics: Female; Humans; Infant, Newborn; Intestinal Volvulus; Perinatal Mortality; Pregnancy; Premature Birth; Prognosis; Ultrasonography, Prenatal
PubMed: 34981841
DOI: 10.1002/pd.6083 -
The Surgical Clinics of North America Feb 2017Rotation abnormalities may be asymptomatic or may be associated with obstruction caused by bands, midgut volvulus, or associated atresia or web. The most important goal... (Review)
Review
Rotation abnormalities may be asymptomatic or may be associated with obstruction caused by bands, midgut volvulus, or associated atresia or web. The most important goal of clinicians is to determine whether the patient has midgut volvulus with intestinal ischemia, in which case an emergency laparotomy should be done. If the patient is not acutely ill, the next goal is to determine whether the patient has a narrow-based small bowel mesentery. In general, the outcomes for children with a rotation abnormality are excellent, unless there has been midgut volvulus with significant intestinal ischemia.
Topics: Child; Diagnostic Imaging; Digestive System Abnormalities; Humans; Intestinal Obstruction; Intestinal Volvulus; Laparotomy
PubMed: 27894424
DOI: 10.1016/j.suc.2016.08.011 -
Pediatric Emergency Care Dec 2019Sigmoid volvulus is an extremely rare cause of abdominal pain in children. More commonly seen in older adults, an SV occurs when a redundant loop of sigmoid wraps around...
Sigmoid volvulus is an extremely rare cause of abdominal pain in children. More commonly seen in older adults, an SV occurs when a redundant loop of sigmoid wraps around its elongated, narrow mesentery causing obstruction and ischemia to the affected bowel segment. Children usually present with abdominal pain, nausea, and abdominal distension. Presentations may be acute or chronic with a history of episodic constipation or abdominal distension. The treatment plan includes an initial reduction of the volvulus via sigmoidoscopy with rectal biopsy to rule out Hirschsprung disease; however, operative management to remove the dilated sigmoid colon may be required in the setting of recurrence or confirmed Hirschsprung disease. Although rare, SV should be considered in a child presenting with abdominal pain as a missed diagnosis can have high potential morbidity and mortality.
Topics: Abdominal Pain; Adolescent; Anastomosis, Surgical; Colon, Sigmoid; Emergency Service, Hospital; Female; Humans; Intestinal Obstruction; Intestinal Volvulus; Recurrence; Sigmoidoscopy; Tomography, X-Ray Computed; Treatment Outcome
PubMed: 29596283
DOI: 10.1097/PEC.0000000000001470