Simultaneous Volvulus of Transverse Colon and Cecum in a Patent With Down Syndrome: A Case Report
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Abstract
Volvulus is a rare cause of intestinal obstruction and occurs mostly in sigmoid colon and cecum. It is more common in patients with Down syndrome. In this condition, it is even more challenging to diagnose the cause of intestinal obstruction through history and physical examination alone. Early diagnosis and intervention are critical in this condition to prevent serious side effects. Simultaneous volvulus is a sporadic case in the surgical entity. We report a very rare case of simultaneous volvulus of cecum and transverse colon, its management, and outcomes in a 20-year-old known case of Down syndrome.
[1] Waluza JJ, Aronson DC, Nyirenda D, Zoetmulder FA, Borgstein ES. Transverse colon volvulus in children: A case series and a review of the literature. Journal of Pediatric Surgery. 2015; 50(10):1641-3. [DOI:10.1016/j.jpedsurg.2015.06.013] [PMID]
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[3] Walczak DA, Czerwinska M, Falek W, Trzeciak PW. Volvulus of transverse colon as a rare cause of obstructon: A case report and literature review. Polski Przeglad Chirurgiczny. 2013; 85(10):605-7. [DOI:10.2478/pjs-2013-0090] [PMID]
[4] Islam S, Hosein D, Harnarayan P, Naraynsingh V. Synchronic volvulus of splenic flexure and caecum: A very rare cause of large bowel obstructon. BMJ Case Report. 2016; 2016:bcr2015213029. [DOI:10.1136/bcr-2015-213029] [PMID] [PMCID]
[5] Arulmolichelvan A, Sivaraman A, Muthukrishnan A. Cecal volvulus associated with intestnal malrotaton presentng as postopera tve intestnal obstructon. Medical Principles and Practce. 2012; 21(4):389-91. [DOI:10.1159/000335415] [PMID]
[6] Smith C, Cho A, Tsang T. Transverse colonic volvulus in a child: Successful management with decompression and delayed laparoscopic colopexy. European Journal of Pediatric Surgery Reports. 2013; 1(1):48-50. [DOI:10.1055/s-0033 1345102] [PMID] [PMCID]
[7] Katoh T, Shigemori T, Fukaya R, Suzuki H. Cecal volvulus: Report of a case and review of Japanese literature. World Journal of Gastroenterology. 2009; 15(20):2547-9. [DOI:10.3748/wjg.15.2547] [PMID] [PMCID]
[8] Rahbour G, Ayantunde A, Ullah MR, Arshad S, Kerwat R. Transverse colon volvulus in a 15 year old boy and the review of the literature. World Journal of Emergency Surgery. 2010; 5:19. [DOI:10.1186/1749-7922-5-19] [PMID] [PMCID]
[9] Holmes G. Gastrointestnal disorders in Down syndrome. Gastroenterology and Hepatology from Bed to Bench. 2014; 7(1):6-8. [PMID] [PMCID]
[10] Awan AK, Macafee DA, Hall RI. Intestnal obstructon in an adult with Down’s syndrome. Journal of the Royal Society of Medicine. 2004; 97(7):334-5. [DOI:10.1177/014107680409700710] [PMID] [PMCID]
[2] Wales L, Tysome J, Menon R, Habib N, Navarra G. Caecal volvulus following laparoscopy-assisted sigmoid colectomy for sigmoid volvulus. Internatonal Journal of Colorectal Disease. 2003; 18(6):557- 60. [DOI:10.1007/s00384-003-0509-9] [PMID]
[3] Walczak DA, Czerwinska M, Falek W, Trzeciak PW. Volvulus of transverse colon as a rare cause of obstructon: A case report and literature review. Polski Przeglad Chirurgiczny. 2013; 85(10):605-7. [DOI:10.2478/pjs-2013-0090] [PMID]
[4] Islam S, Hosein D, Harnarayan P, Naraynsingh V. Synchronic volvulus of splenic flexure and caecum: A very rare cause of large bowel obstructon. BMJ Case Report. 2016; 2016:bcr2015213029. [DOI:10.1136/bcr-2015-213029] [PMID] [PMCID]
[5] Arulmolichelvan A, Sivaraman A, Muthukrishnan A. Cecal volvulus associated with intestnal malrotaton presentng as postopera tve intestnal obstructon. Medical Principles and Practce. 2012; 21(4):389-91. [DOI:10.1159/000335415] [PMID]
[6] Smith C, Cho A, Tsang T. Transverse colonic volvulus in a child: Successful management with decompression and delayed laparoscopic colopexy. European Journal of Pediatric Surgery Reports. 2013; 1(1):48-50. [DOI:10.1055/s-0033 1345102] [PMID] [PMCID]
[7] Katoh T, Shigemori T, Fukaya R, Suzuki H. Cecal volvulus: Report of a case and review of Japanese literature. World Journal of Gastroenterology. 2009; 15(20):2547-9. [DOI:10.3748/wjg.15.2547] [PMID] [PMCID]
[8] Rahbour G, Ayantunde A, Ullah MR, Arshad S, Kerwat R. Transverse colon volvulus in a 15 year old boy and the review of the literature. World Journal of Emergency Surgery. 2010; 5:19. [DOI:10.1186/1749-7922-5-19] [PMID] [PMCID]
[9] Holmes G. Gastrointestnal disorders in Down syndrome. Gastroenterology and Hepatology from Bed to Bench. 2014; 7(1):6-8. [PMID] [PMCID]
[10] Awan AK, Macafee DA, Hall RI. Intestnal obstructon in an adult with Down’s syndrome. Journal of the Royal Society of Medicine. 2004; 97(7):334-5. [DOI:10.1177/014107680409700710] [PMID] [PMCID]
| Files | ||
| Issue | Vol 4 No 2 (2019): Spring | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/crcp.v4i2.1707 | |
| Keywords | ||
| Transverse colon volvulus; Intestnal obstructon; Cecal volvulus; Down syndrome | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Babaniamansour S, Aliniagerdroudbari E, Bagherpor G, Kheiry F. Simultaneous Volvulus of Transverse Colon and Cecum in a Patent With Down Syndrome: A Case Report. CRCP. 2019;4(2):52-56.
