Back
 OJPed  Vol.3 No.2 , June 2013
Cecal volvulus associated with mobile cecum in Cornelia de Lange syndrome: Report of a case
Abstract: We report a case of cecal volvulus in an 11-year-old girl who had been diagnosed with Cornelia de Lange syndrome. She had undergone operative fundoplication several years earlier and was referred to our institute for treatment of intestinal obstruction. A severely dilated colon was detected on abdominal roentgenogram, and abdominal CT and colonic enema strongly suggested cecal volvulus. Emergency operation was performed and cecal volvulus with mobile cecum was ascertained; the volvulus was corrected and the mobile cecum was fixed to the peritoneum on the right side. Neurologically handicapped patients sometimes suffer from cecal volvulus, and patients with Cornelia de Lange syndrome are at especially high risk. Moreover, operative fundoplication promotes intestinal dilatation and it may be another risk factor for cecal volvulus.
Cite this paper: Takahashi, M. , Watanabe, T. , Tanaka, H. , Yamada, W. , Yamada, K. , Fuchimoto, Y. , Nosaka, S. and Kanamori, Y. (2013) Cecal volvulus associated with mobile cecum in Cornelia de Lange syndrome: Report of a case. Open Journal of Pediatrics, 3, 96-98. doi: 10.4236/ojped.2013.32018.
References

[1]   Takeuchi, H., Ikeda, Y., Komori, Y., Tahara, K., Shiromizu, A., Hayashi, H., et al. (2008) Cecal volvulus in cerebral palsy: Report of a case. Surgery Today, 38, 170-173. doi:10.1007/s00595-007-3581-x

[2]   Consorti, E.T. and Liu, T.H. (2005) Diagnosis and treatment of caecal volvulus. Postgraduate Medical Journal, 81, 772-776. doi:10.1136/pgmj.2005.035311

[3]   Rosenblat, J.M., Rozenblit, A.M., Wolf, E.L., DuBrow, R.A., Den, E.I. and Levsky, J.M. (2010) Findings of cecal volvulus at CT. Radiology, 256, 169-175. doi:10.1148/radiol.10092112

[4]   Macari, M., Spieler, B., Babb, J. and Pachter, H.L. (2011) Can the location of the CT whirl sign assist in differentiating sigmoid from caecal volvulus? Clinical Radiology, 66, 112-117. doi:10.1016/j.cr ad.2010.09.010

[5]   Lee, N.K., Kim, S., Jeon, T.Y., Kim, H.S., Kim, D.H., Seo, H.I., et al. (2010) Complications of congenital and developmental abnormalities of the gastrointestinal tract in adolescents and adults: Evaluation with multimodality imaging. Radiographics, 30, 1489-1507. doi:10.1148/rg.306105504

[6]   Phillips, G. and Parisi, M.T. (2010) Cecal volvulus: Classic imaging appearance of an uncommon pediatric entity. Pediatric Radiology, 40, S98. doi:10.1007/s00247-010-1588-8

[7]   Hart, Z.H., Jaslow, R.I. and Gomez, M.R. (1965) The de Lange syndrome. American Journal of Diseases of Children, 109, 325-332.

[8]   Husan, K., Fitzgerald, P. and Lau, G. (1994) Cecal volvulus in the Cornelia de Lange syndrome. Journal of Pediatric Surgery, 29, 1245-1247. doi:10.1016/0022-3468(94)90814-1

[9]   Frischman, W.J., Couper, R.T.L. and Freeman, J.K. (1996) Cecal volvulus following gastroduodenoscopy in Cornelia de Lange syndrome. Journal of Pediatric Gastroenterology and Nutrition, 22, 205-207. doi:10.1097/00005176-199602000-00013

[10]   Masumoto, K., Izaki, T. and Arima, T. (2001) Cornelia de Lange syndrome associated with cecal volvulus: Report of a case. Acta Paediatrica, 90, 701-703. doi:10.1080/080352501750258801

[11]   Takeda, K., Hamada, Y., Sato, M., Fujii, Y., Teraguchi, M., Kaneko, K., et al. (2007) Cecal volvulus in children with mental disability. Pediatric Surgery International, 23, 1011-1014. doi:10.1007/s00383-007-1987-6

 
 
Top