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Transverse Colon Volvulus around the Gastrostomy Tube in a Pediatric Situs Inversus Patient
JKAPS 2018 Jun;24(1):26-9
Published online June 30, 2018;  https://doi.org/10.13029/jkaps.2018.24.1.26
Copyright © 2018 Korean Association of Pediatric Surgeons.

Yoon Hyung Kang, Joong Kee Youn, Ji-Won Han, Chaeyoun Oh, Sung-Eun Jung, Hyun-Young Kim

Department of Pediatric Surgery, Seoul National University College of Medicine, Seoul, Korea
Received September 23, 2017; Revised November 29, 2017; Accepted December 11, 2017.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 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.
Keywords : Intestinal volvulus, Situs inversus, Gastrostomy, Scoliosis

 

June 2018, 24 (1)