A Case of Cecal Volvulus Presenting with Chronic Constipation in Lissencephaly

Title
A Case of Cecal Volvulus Presenting with Chronic Constipation in Lissencephaly
Author(s)
최광해김세윤이은경이윤영김지은
Keywords
Cecum; Inteseinal volvulus; Lissencephaly
Issue Date
201306
Publisher
대한소아소화기영양학회
Citation
Pediatric Gastroenterology, Hepatology & Nutrition, v.16, no.2, pp.131 - 134
Abstract
Cecal volvulus is uncommon in pediatric patients and there are few reports of cecal volvulus with cerebral palsy. Here, we report the case of a 19-year-old male patient who presented with abdominal distension, a history of cerebral palsy, refractory epilepsy due to lissencephaly, and chronic constipation. An abdominal x-ray and computed tomography without contrast enhancement showed fixed dilated bowel intensity in the right lower abdomen. Despite decompression with gastric and rectal tube insertion, symptoms did not improve. The patient underwent an exploratory laparotomy that revealed cecal volvulus. Cecal volvulus usually occurs following intestinal malrotation or previous surgery. In this patient, however, intestinal distension accompanying mental disability and chronic constipation resulted in the development of cecal volvulus. We suggest that cecal and proximal large bowel volvulus should be considered in patients presenting with progressive abdominal distension combined with a history of neuro-developmental delay and constipation. (Pediatr Gastroenterol Hepatol Nutr 2013; 16: 131∼134)
URI
http://hdl.handle.net/YU.REPOSITORY/29737
ISSN
2234-8646
Appears in Collections:
의과대학 > 소아청소년과학교실 > Articles
의과대학 > 영상의학과학교실 > Articles
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