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Pediatric Surgery International Oct 2007Two cases of cecal volvulus in children with mental disability are described. Case 1: a 3-year-old girl with trisomy 18 was admitted with abdominal pain and vomiting.... (Review)
Review
Two cases of cecal volvulus in children with mental disability are described. Case 1: a 3-year-old girl with trisomy 18 was admitted with abdominal pain and vomiting. She had received left lateral segmentectomy 6 months earlier because of hepatoblastoma. Release of the cecal volvulus followed by the fixation of the cecum and ascending colon to the right retroperitonium was performed. Case 2: a 15-month-old boy with Cornelia de Lange syndrome who had undergone a standard Nissen's fundoplication. On the sixth postoperative day, progressive abdominal distention developed. Abdominal color Doppler ultrasonography from the right rear side revealed a clockwise-twisted ileocecal artery and vein and a dilated colon with tapering configuration. On the ninth postoperative day, emergent release of the cecal volvulus followed by ascending colostomy through a perforation site was performed. Approximately 40 children with cecal volvulus have so far been reported, of whom 13 are mentally disabled. We speculated that in the cases reported here, distention of the intestine accompanying the mental disability and the previous surgery contributed to the development of cecal volvulus in addition to the prerequisite of abnormal mobility of the cecum. Pediatric surgeons should consider the cecal volvulus as a cause of intestinal obstruction in mentally disabled children.
Topics: Cecal Diseases; Child, Preschool; Colon; Dilatation, Pathologic; Female; Humans; Intestinal Volvulus; Male; Ultrasonography, Doppler, Color
PubMed: 17653554
DOI: 10.1007/s00383-007-1987-6 -
BMJ Case Reports Mar 2011
Topics: Abdomen; Dilatation, Pathologic; Humans; Male; Middle Aged; Urinary Bladder, Neurogenic; Urine
PubMed: 22715254
DOI: 10.1136/bcr.10.2010.3397 -
JAMA May 2013
Topics: Abdomen; Abdominal Pain; Adolescent; Calcinosis; Chorionic Gonadotropin, beta Subunit, Human; Diagnosis, Differential; Dilatation, Pathologic; Fatigue; Female; Humans; Laparotomy; Ovarian Neoplasms; Teratoma; Tomography, X-Ray Computed; Ultrasonography; Weight Gain
PubMed: 23632727
DOI: 10.1001/jama.2013.3145 -
Abdominal Radiology (New York) Jun 2021
Topics: Abdomen; Dilatation, Pathologic; Fallopian Tube Diseases; Fallopian Tubes; Female; Humans; Torsion Abnormality
PubMed: 33386918
DOI: 10.1007/s00261-020-02901-z -
European Journal of Vascular and... Jun 2017
Topics: Aorta, Abdominal; Aortic Aneurysm, Abdominal; Dilatation; Dilatation, Pathologic; Disease Progression; Humans
PubMed: 28400092
DOI: 10.1016/j.ejvs.2017.03.011 -
Urology Jan 1980Two cases of hydrometrocolpos and polydactyly in female infants with persistent urogenital sinus are reported. The importance of considering hydrometrocolpos as the...
Two cases of hydrometrocolpos and polydactyly in female infants with persistent urogenital sinus are reported. The importance of considering hydrometrocolpos as the cause of an abdominal mass in female infants with polydactyly is stressed. Cytologic examination of the vaginal fluid may help in early diagnosis.
Topics: Abnormalities, Multiple; Dilatation, Pathologic; Female; Fingers; Humans; Infant, Newborn; Toes; Uterine Diseases; Vaginal Diseases
PubMed: 7352345
DOI: 10.1016/0090-4295(80)90541-5 -
Journal of Gastroenterology Dec 2015Most studies evaluating visceral sensation measure visceromotor response (VMR) to colorectal distention (CRD). However, CRD itself induces visceral sensitization, and...
BACKGROUND
Most studies evaluating visceral sensation measure visceromotor response (VMR) to colorectal distention (CRD). However, CRD itself induces visceral sensitization, and little is known about the detailed characteristics of this response. The present study tried to clarify this question.
METHODS
VMR was determined by measuring abdominal muscle contractions as a response to CRD in rats. The CRD set consisted of two isobaric distentions (60 mmHg for 10 min twice, with a 30-min rest), and the CRD set was performed on two separate days, i.e., days 1 and 3, 8.
RESULTS
On day 1, VMR to the second CRD was increased as compared with that to the first CRD, which is the acute sensitization. VMR to the first CRD on day 3 returned to the same level as that to the first CRD on day 1, and total VMR, i.e., the whole response to the CRD set, was not different between day 1 and day 3. However, total VMR was significantly increased on day 8 as compared with that on day 1, suggesting CRD induced the delayed sensitization. Intraperitoneally administered astressin (200 µg/kg), a corticotropin-releasing factor receptor antagonist, at the end of the first CRD blocked the acute sensitization, but anakinra (20 mg/kg, intraperitoneally), an interleukin-1 receptor antagonist, did not modify it. Astressin (200 µg/kg, twice before CRD on day 8) did not alter the delayed sensitization, but anakinra (20 mg/kg, twice) abolished it.
CONCLUSIONS
CRD induced both acute sensitization and delayed sensitization, which were mediated through peripheral corticotropin-releasing factor and interleukin-1 pathways, respectively.
Topics: Acute Disease; Animals; Colon; Corticotropin-Releasing Hormone; Dilatation, Pathologic; Hyperalgesia; Interleukin 1 Receptor Antagonist Protein; Interleukin-1; Male; Peptide Fragments; Physical Stimulation; Rats, Sprague-Dawley; Rectum; Time Factors
PubMed: 25808230
DOI: 10.1007/s00535-015-1070-3 -
The Journal of Emergency Medicine Nov 2017
Topics: Abdominal Pain; Chylous Ascites; Constipation; Dilatation, Pathologic; Humans; Male; Tomography, X-Ray Computed; Young Adult
PubMed: 28987307
DOI: 10.1016/j.jemermed.2017.08.022 -
European Journal of Pediatric Surgery :... May 2010Foetal dilated or echogenic bowel have been described as markers for a variety of conditions including bowel obstruction, chromosomal and infectious disorders and cystic... (Review)
Review
INTRODUCTION
Foetal dilated or echogenic bowel have been described as markers for a variety of conditions including bowel obstruction, chromosomal and infectious disorders and cystic fibrosis. We aim to describe possible surgical interventions and outcomes.
METHODS
A 5-year review was performed of the clinical course of infants with antenatally diagnosed isolated echogenic bowel and/or dilated bowel or intraabdominal echogenic foci presenting at Princess Margaret Hospital for Children, Perth, Western Australia.
RESULTS
Abnormal antenatal findings were present in 35 foetuses. Twelve babies underwent surgery for intestinal atresia, meconium ileus and duplication cysts. Postoperative courses and outcomes were good.
CONCLUSIONS
Echogenic bowel on antenatal ultrasound is a non-specific marker for a variety of disorders. Although associated with higher rates of foetal loss, the majority of neonates are normal at delivery. Bowel dilatation with or without echogenicity is often predictive of bowel obstruction requiring surgery. Surgical outcomes are, however, very good. Echogenic foci elsewhere in the abdomen have little postnatal significance.
Topics: Dilatation, Pathologic; Female; Fetal Diseases; Humans; Infant, Newborn; Intestinal Diseases; Intestines; Pregnancy; Retrospective Studies; Ultrasonography
PubMed: 20175047
DOI: 10.1055/s-0030-1247523 -
Minnesota Medicine May 1982
Topics: Abdomen; Adult; Aged; Cecal Diseases; Colonic Diseases; Colonoscopy; Constipation; Dilatation, Pathologic; Female; Hospitalization; Humans; Male; Middle Aged; Radiography, Abdominal
PubMed: 7099124
DOI: No ID Found