Transverse Colon Volvulus around the Gastrostomy Tube in a Pediatric Situs Inversus Patient
10.13029/jkaps.2018.24.1.26
- Author:
Yoon Hyung KANG
1
;
Joong Kee YOUN
;
Ji Won HAN
;
Chaeyoun OH
;
Sung Eun JUNG
;
Hyun Young KIM
Author Information
1. Department of Pediatric Surgery, Seoul National University College of Medicine, Seoul, Korea. spkhy02@snu.ac.kr
- Publication Type:Case Report
- From:Journal of the Korean Association of Pediatric Surgeons
2018;24(1):26-29
- CountryRepublic of Korea
- Language:English
-
Abstract:
An 18-year-old male patient with cerebral palsy and scoliokyphosis came to the emergency department with abdominal distension and vomiting. He was a situs inversus patient with a feeding gastrostomy tube. Sigmoid volvulus was initially suspected, so rectal tube insertion and endoscopic decompression were attempted, but failed. So he went through explorative laparotomy, and transverse colonic adhesion and twisting around the gastrostomy tube and gastric wall was identified. Adhesiolysis and resection with redundant transverse colon and end-to-end colocolic anastomosis was performed. He discharged with symptom free. Suspecting transverse colonic volvulus is important when the patient has anatomical anomalies and feeding gastrostomy tube. Timely diagnosis with proper radiologic imaging should be made. Surgical resection of the redundant colon is needed for successful management of transverse colonic volvulus.
