Volvulus of the ascending colon: An unusual complication of non-rotation of the midgut
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A case of non-rotation of the bowel is presented wherein volvulus of the colon occurred causing acute obstruction. Spontaneous reduction following a barium enema as well as the patient's history leads us to suspect that volvulus had occurred in the past and was responsible for the intermittent nature of the patient's symptoms. This type of volvulus is distinctly different from midgut volvulus and is a rare complication of the anomaly of intestinal rotation and fixation known as non-rotation of the bowel. Efforts should be made to study patients with malrotation anomalies at a time when they are acutely symptomatic so that intermittent volvulus such as shown here is not overlooked.
Key wordsNon-rotation of bowel Volvulus Colon Malrotation Intestinal obstruction in children Anomaly of mesenteric attachment
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- 4.Caffey J (1978) Pediatric X-ray diagnosis. Year Book Medical Publishers, Chicago, pp 738–744, 788–789, 1721–1726Google Scholar
- 5.Estrada RL (1978) Anomalies of intestinal rotation and fixation. Charles C. Thomas, Springfield, pp x-xiii, 2–4, 32–38Google Scholar
- 6.Kiesewetter WB, Smith JW (1958) Malrotation of the midgut in infancy and childhood. Arch Surg (Chicago) 77:483Google Scholar
- 8.Singleton EB, Wagner LM, Dutton RV (1977) Radiology of the alimentary tract in infants and children, 2nd ed. Saunders, Philadelphia, pp 181–188Google Scholar