Open AccessSplenic Flexure Colonic Volvulus: A Pediatric Case Report
Author(s) -
Hsueh ChihChung,
Jaw TweiShiun,
Lin JaoYu,
Chan HonMan
Publication year - 2007
Publication title -
the kaohsiung journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.439
H-Index - 36
eISSN - 2410-8650
pISSN - 1607-551X
DOI - 10.1016/s1607-551x(09)70400-0
Subject(s) - medicine , splenic flexure , volvulus , general surgery , surgery , colonoscopy , colorectal cancer , cancer
Volvulus of the colon is an unusual cause of intestinal obstruction in the pediatric population. Splenic flexure colonic volvulus is the most uncommon site in children. We report a case of splenic flexure volvulus (SFV) in a 21‐month‐old boy with underlying cerebral palsy and epilepsy. He experienced abdominal distension, bilious vomiting and absence of bowel movement for 2 days. Abdominal radiography showed a proximal distended colon and a “coffee bean sign” at the left upper quadrant. Barium enema revealed a “bird beak sign” at the splenic flexure, which confirmed the diagnosis of SFV. Detorsion of SFV occurred while undergoing exploratory laparotomy. He received regular follow‐up in the subsequent 3 years without recurrence.