Cecal Volvulus in a child with congenital dilated cardiomyopathy: A case report

Shehata, Ahmed; Helal, M. A.; Ibrahim, EzzElDien A.; Magdy, Basma; Seoudy, Mohamed El; Shaban, Muayad; Taher, Heba

doi:10.1016/j.ijscr.2019.10.008

Cited by 6 publications

(9 citation statements)

References 12 publications

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“…In this study, the most frequently associated anomalies were the annular pancreas (26.67%), duodenal web (20%), intestinal atresia (20%), and ectopic pancreas (13.33%). Three of the 15 neonates had multiple anomalies, including Meckel's diverticulum, congenital heart disease, gastrointestinal duplication cyst, and trisomy 21, similar to the results described by Kedoin ( 1 ), Shehata ( 29 ), and Azzam et al ( 31 ). Although coexisting intestinal malrotation and enteric duplication cyst or cardiac anomalies are rare, children with gut duplication or congenital heart problems should be aware of accompanying congenital malrotation ( 30 , 31 ).…”

Section: Discussionsupporting

confidence: 81%

Identification and treatment of intestinal malrotation with midgut volvulus in childhood: a multicenter retrospective study

Yang,

Wang,

Wang

et al. 2024

Front. Pediatr.

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BackgroundIntestinal malrotation is a rare condition, and its delayed diagnosis can lead to fatal consequences. This study aimed to investigate the identification and treatment of malrotation in children.MethodsClinical data, imaging, operative findings, and early postoperative outcomes of 75 children with malrotation were retrospectively analyzed.ResultsThe mean age was 6.18 ± 4.93 days and 51.26 ± 70.13 months in the neonatal group (56 patients) and non-neonatal group (19 patients), respectively. Sixty-seven patients were under the age of 1 year at the time of diagnosis. The occurrence of bilious vomiting and jaundice was significantly higher in the neonatal group (89.29%) than that in the non-neonatal group (37.5%), p < 0.05 and p < 0.01, respectively. The incidence of abnormal ultrasound (US) findings was 97.30% and 100%, respectively, and the sensitivities of the upper gastrointestinal series were 84.21% and 87.5%, respectively. Sixty-six (88%) patients had midgut volvulus, including in utero volvulus (two patients) and irreversible intestinal ischemia (four patients). Most neonates (89.29%) underwent open Ladd's procedure with a shorter operative time (p < 0.01). Reoperation was performed for postoperative complications (four patients) or missed comorbidities (two patients).ConclusionsNon-bilious vomiting was the initial symptom in >10% of neonates and nearly 40% of non-neonates. This highlights the importance for emergency physicians and surgeons to be cautious about ruling out malrotation in patients with non-bilious vomiting. Utilizing US can obviate the need for contrast examinations owing to its higher diagnostic accuracy and rapid diagnosis and can be recommended as a first-line imaging technique. Additionally, open surgery is still an option for neonatal patients.

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Section: Discussionsupporting

confidence: 81%

Identification and treatment of intestinal malrotation with midgut volvulus in childhood: a multicenter retrospective study

Yang,

Wang,

Wang

et al. 2024

Front. Pediatr.

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“…Chronic recurrent volvulus is characterized by recurrent colicky pain and abdominal distention [ 2 ]. The clinical presentation depends on the duration and extent of the involvement of cecal malrotation and is highly variable in presentation this includes abdominal pain, vomiting, abdominal distention, and constipation [ 4 , 6 ]. Several factors contribute to the development of cecal volvulus.…”

Section: Discussionmentioning

confidence: 99%

“…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 ]. Cecopexy is a safe and minimal invasive procedure that is used to preserve colon function.…”

Section: Discussionmentioning

confidence: 99%

“…However, it is extremely rarely reported in the pediatric age group with an estimated incidence of 1 in every 500 cases [ 2 , 3 ]. Cecal volvulus is associated with various complications including ischemia, strangulation, perforation, and gangrene [ 4 ]. The clinical presentation is highly variable which can delay the diagnosis [ 1 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Cecal volvulus is associated with various complications including ischemia, strangulation, perforation, and gangrene [ 4 ]. The clinical presentation is highly variable which can delay the diagnosis [ 1 , 4 ]. Usually the diagnosis is made via computed tomography (CT) scan [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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

Alzahrani,

Joueidi,

Abodahab

et al. 2024

International Journal of Surgery Case Reports

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Clinical characteristics of congenital heart defects in mild congenital anorectal malformation: single-centre experience

Feng,

Zhang,

Hou

et al. 2024

BMC Pediatr

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Objective To analyze the clinical characteristics and types of congenital heart defect (CHD) in mild congenital anorectal malformation (CARM), namely the rectoperineal and rectovestibular fistulas. Methods The retrospective study of 183 patients with mild CARM was conducted with assessments of demographic information, color Doppler echocardiography results, and follow-up data. We performed an analysis of the clinical characteristics of CHD, grouping them based on sex and type of mild CARM. Results Of the 183 patients, rectoperineal fistula occurred in 133 patients (72.7%), while the frequency of CHD was 79.8% (146/183). Ventricular septal defects (VSDs) occur more frequently in patients with rectoperineal fistula compared to those with rectovestibular fistula (1.5% vs. 10%), while the opposite trend was observed for patent ductus arteriosus (PDAs) (39.8% vs. 22.0%). Additionally, males presented higher frequency of PDA (42.7% vs. 26.4%) and self-healing (6 months: 87.2% vs. 42.6%; 12 months: 91.0% vs. 63.2%) than females. However, males had a lower rate of undergoing cardiac surgery (6.4% vs. 17.6%) and a younger median diagnosis age (1 day vs. 9 days). Conclusion Our study indicates that there is a necessity for meticulous cardiac assessment and follow-up in neonates diagnosed with mild CARM.

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Cecal Volvulus in a child with congenital dilated cardiomyopathy: A case report

Abstract: HighlightsCecal volvulus is a very rare cause of intestinal obstruction in children.Novel association between Congenital dilated cardiomyopathy and cecal volvulus.Cecal volvulus should be suspected in a child presenting with bilious vomiting.

Cited by 6 publications

References 12 publications

Identification and treatment of intestinal malrotation with midgut volvulus in childhood: a multicenter retrospective study

Identification and treatment of intestinal malrotation with midgut volvulus in childhood: a multicenter retrospective study

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

Clinical characteristics of congenital heart defects in mild congenital anorectal malformation: single-centre experience

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