Document Detail

Volvulus of the transverse colon in children--Report of a case and review of the literature.
MedLine Citation:
PMID:  6730709     Owner:  NLM     Status:  MEDLINE    
Sigmoid, cecal and transverse colon volvulus have been responsible for approximately 3% of all large bowel obstruction in the United States. Transverse colon volvulus is much less frequent, occurring in less than 4% of all reported cases of colonic torsion. In the pediatric age group a review of the literature revealed seven cases only, to which we are able to add an eighth. Predisposing abnormalities implicated in the etiology of volvulus of the transverse colon include a redundant transverse colon, an elongated mesentery and close attachment or lack of fixation of the proximal and distal transverse colon. Chronic constipation and mental retardation are associated with this condition. The treatment is surgical intervention to untwist the volvulus and resect the redundant and often nonviable colon with primary colocolostomy or end-colostomy and mucous fistula as indicated.
R E Black; J A Cox
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Zeitschrift für Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft für Kinderchirurgie = Surgery in infancy and childhood     Volume:  39     ISSN:  0174-3082     ISO Abbreviation:  Z Kinderchir     Publication Date:  1984 Feb 
Date Detail:
Created Date:  1984-07-25     Completed Date:  1984-07-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8103794     Medline TA:  Z Kinderchir     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  69-71     Citation Subset:  IM    
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MeSH Terms
Child, Preschool
Colonic Diseases / surgery*
Intestinal Obstruction / radiography,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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