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KMID : 0605920180240010026
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Journal of Korean Association of Pediatric Surgeons
2018 Volume.24 No. 1 p.26 ~ p.29
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Transverse Colon Volvulus around the Gastrostomy Tube in a Pediatric Situs Inversus Patient
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Kang Yoon-Hyung
Youn Joong-Kee
Han Ji-Won
Oh Chae-Youn
Jung Sung-Eun
Kim Hyun-Young
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Abstract
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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.
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KEYWORD
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Intestinal volvulus, Situs inversus, Gastrostomy, Scoliosis
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