We report a case of colonic volvulus in a 7-year-old child with normal development. Operative findings at laparotomy showed a 270-degree transverse colonic volvulus (TCV), with colonic ligamentous attachment abnormalities. A loop ileostomy was formed following detorsion, with delayed laparoscopic colopexy. This is the first case to describe decompression by diversion ileostomy as acute manageme...

Abnormalities in midgut rotation occur during the physiological herniation of the midgut between the 5th and 10th week of gestation (Warner, 1997). The most significant abnormality is a narrow small bowel mesentery which is prone to volvulus. This occurs most frequently in the neonatal period. Less commonly (Nehra and Goldstein, 2011), midgut malrotation presents in adulthood with either acute ...

Percutaneous endoscopic colostomy (PEC) was first described in 1986, by Jeffrey Ponski [1], who had invented percutaneous endoscopic gastrostomy a few years before that [2]. Performed by 2 operators, PEC consists of placing a tube in the colon during colonoscopy in order to provide antegrade colonic enemas (ACE) in severe constipation or fecal incontinence [3,4]. The PEC tube can also be used a...

Abnormalities in midgut rotation occur during the physiological herniation of the midgut between the 5th and 10th week of gestation. The most significant abnormality is a narrow small bowel mesentery which is prone to volvulus. This occurs most frequently in the neonatal period. Less commonly, midgut malrotation presents in adulthood with either acute volvulus or chronic abdominal symptoms. It ...

The colon is an unusual site of intestinal atresia. Colonic atresia is subdivided into three phenotypes. Type III is the most common phenotype, where the proximal and distal blind sacs are not connected. Here, we report on the presence of colonic atresia with an “inverse apple-peel” appearance in a neonate with gastroschisis. The lack of mesenteric fixation of the entire small intestine, includ...

Biliary complications have great importance for liver transplant recipients because of affecting long-term prognosis. In rare situations, an internal hernia of the Roux-en-Y loop cause graft injury. A 42-year-old woman with a history of living donor liver transplantation 6 years ago presented with prolonged graft injury during the past 6 months. She suddenly developed ileus of the small bowel w...

OBJECTIVE To describe the management of sigmoid volvulus with reference to the type of surgical procedures performed and to determine the prognosis of sigmoid volvulus. STUDY DESIGN A case series. PLACE AND DURATION OF STUDY Ghaem Hospital of Mashhad, University of Medical Sciences, Mashhad, Iran, from 1996 to 2008. METHODOLOGY A total of 944 cases of colon obstruction were reviewed. Demo...

BACKGROUND Sigmoid volvulus is frequently reported in the "volvulus belt" (Middle East, Africa, the Indian subcontinent, Turkey, and South America) and is the third leading cause of large bowel obstruction in North America. It is an uncommon problem in children and adolescents, and is rarely considered a diagnosis in this group. A high index of suspicion is necessary to diagnose sigmoid volvulu...

Case history The male patient (then aged 38 years) first presented in 1948 after an episode oflower abdominal pain and vomiting lasting several hours. Three similar attacks had occurred in the previous 14 years, 2 of which had required hospital admission. Physical examination was unremarkable but a barium enema showed a mobile caecum attached to a mesentery and a long redundant sigmoid loop, su...