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Volvulus of the ascending colon: An unusual complication of non-rotation of the midgut

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Abstract

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.

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References

  1. Balthazar EJ (1977) Congenital positional anomalies of the colon: radiographic diagnosis and clinical implications. I. Abnormalities of rotation. Gastrointest Radiol 2:41

    PubMed  Google Scholar 

  2. Berdon WE, Baker DH, Bull S, Santulli TV (1970) Midgut malrotation and volvulus, which films are most helpful? Radiology 96:375

    PubMed  Google Scholar 

  3. Brennom WS, Bill AH (1974) Prophylactic fixation of the intestine for midgut nonrotation. Surg Gynecol Obstet 138:181

    PubMed  Google Scholar 

  4. Caffey J (1978) Pediatric X-ray diagnosis. Year Book Medical Publishers, Chicago, pp 738–744, 788–789, 1721–1726

    Google Scholar 

  5. Estrada RL (1978) Anomalies of intestinal rotation and fixation. Charles C. Thomas, Springfield, pp x-xiii, 2–4, 32–38

    Google Scholar 

  6. Kiesewetter WB, Smith JW (1958) Malrotation of the midgut in infancy and childhood. Arch Surg (Chicago) 77:483

    Google Scholar 

  7. Markowitz RI, Shashikumar VL, Capitanio MA (1977) Volvulus of the colon in a child with congenital asplenia (ivemark's syndrome). Radiology 122:442

    PubMed  Google Scholar 

  8. Singleton EB, Wagner LM, Dutton RV (1977) Radiology of the alimentary tract in infants and children, 2nd ed. Saunders, Philadelphia, pp 181–188

    Google Scholar 

  9. Snyder WH Jr, Chaffin L (1954) Embryology and pathology of the intestinal tract: presentation of 40 cases of malrotation. Ann Surg 140:368

    PubMed  Google Scholar 

  10. Wang C, Welch CE (1963) Anomalies of intestinal rotation in adolescents and adults. Surgery 54:839

    PubMed  Google Scholar 

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Berger, R.B., Hillemeier, A.C., Stahl, R.S. et al. Volvulus of the ascending colon: An unusual complication of non-rotation of the midgut. Pediatr Radiol 12, 298–300 (1982). https://doi.org/10.1007/BF00973197

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  • DOI: https://doi.org/10.1007/BF00973197

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