Cecal volvulus associated with mobile cecum in Cornelia de Lange syndrome: Report of a case

• 作者: Hideaki Tanaka Koji Yamada Masataka Takahashi Shunsuke Nosaka Toshihiko Watanabe Waka Yamada Yasushi Fuchimoto Yutaka Kanamori
• 来源期刊: 儿科学期刊(英文)
• 学科: 医学
• 关键词: Cecal VOLVULUS Cornelia de Lange SYNDROME Whirl SIGN
• 年，卷（期）: 2013,（2）
• 页码范围: 96-98
• 页数: 3页
• 分类号: R73

摘要

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.