Cecal bascule in a child: an unusual cause of postoperative bowel obstruction
| Autor: | Stephen W. Bickler, Seth A. Cohen, Darryl K. Evora, David A. Lazar, Barry E. LoSasso |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty Decompression animal diseases medicine.medical_treatment Fundoplication Nissen fundoplication digestive system Mobile cecum Postoperative Complications medicine Cecal Diseases Humans Ascending colon business.industry General surgery General Medicine bacterial infections and mycoses medicine.disease Surgery Bowel obstruction Child Preschool Pediatrics Perinatology and Child Health Gastroesophageal Reflux Cecal bascule Female Laparoscopy Differential diagnosis business Intestinal Obstruction |
| Zdroj: | Journal of Pediatric Surgery. 47:609-611 |
| ISSN: | 0022-3468 |
| DOI: | 10.1016/j.jpedsurg.2011.12.026 |
| Popis: | Cecal bascule is a rare type of intestinal obstruction that occurs when a mobile cecum folds upward and obstructs the ascending colon. Most often occurring in the elderly, we present the first reported case of cecal bascule in a child. The cecal bascule occurred in a 4-year-old with trisomy 13 syndrome 5 days after a laparoscopic Nissen fundoplication. After a delay in diagnosis and cecal reduction in the operating room, the bascule recurred after 1 year, and the child was treated with a cecostomy tube for both cecopexy and cecal decompression. Cecal bascule should be considered in the differential diagnosis of children with early postoperative bowel obstruction, especially in the developmentally delayed status-post laparoscopic surgery. For the pediatric patient with cecal bascule, we recommend operative management with either cecopexy or resection. |
| Databáze: | OpenAIRE |
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