Cecal Volvulus: An Uncommon Diagnosis in a Child with Down’s Syndrome

Explorative laparotomy of cecal volvulus in a pediatric patient. A case report and review of literature

“…Several studies suggested that the safety and efficacy of conservative management depends on the detorsion with or without cecopexy in the absence of intestinal ischemia. However, surgery is widely recognized as the cornerstone treatment for such cases [ 6 , 12 ]. The selection of surgical procedures varies depending on hemodynamic stability and the extent of bowel compromise, this includes caecopexy, and colonoscopy decompression [ 4 , 13 ].…”

“…Laparoscopy has a minimal impact on the management of cecal volvulus [ 15 ]. Zouari et al reported a 12 year old with the diagnosis of cecal volvulus and underwent cecal detorsion, cecopexy and appendectomy [ 12 ]. The surgery was complicated with enterocutaneous fistula [ 12 ].…”

“…Zouari et al reported a 12 year old with the diagnosis of cecal volvulus and underwent cecal detorsion, cecopexy and appendectomy [ 12 ]. The surgery was complicated with enterocutaneous fistula [ 12 ]. Halabi et al showed that less than 4 % of patients who were treated laparoscopically were young, or had fewer comorbidities [ 15 ].…”