A Case of Cecal Volvulus Presenting with Chronic Constipation in Lissencephaly
이은경, 김지은, 이윤영, 김세윤, Choi Kwang-Hea,
소속 상세정보
이은경 ( Lee Eun-Kyung )
Yeungnam University Medical Center Department of Pediatrics
김지은 ( Kim Ji-Eun )
Yeungnam University Medical Center Department of Pediatrics
이윤영 ( Lee Yun-Young )
Yeungnam University Medical Center Department of Pediatrics
김세윤 ( Kim Sae-Yoon )
Yeungnam University Medical Center Department of Pediatrics
( Choi Kwang-Hea )
Yeungnam University Medical Center Department of Pediatrics
KMID : 0816120130160020131
Abstract
Cecal volvulus is uncommon in pediatric patients and there are few reports of cecal volvulus with cerebral palsy. Here, we report the case of a 19-year-old male patient who presented with abdominal distension, a history of cerebral palsy, refractory epilepsy due to lissencephaly, and chronic constipation. An abdominal x-ray and computed tomography without contrast enhancement showed fixed dilated bowel intensity in the right lower abdomen. Despite decompression with gastric and rectal tube insertion, symptoms did not improve. The patient underwent an exploratory laparotomy that revealed cecal volvulus. Cecal volvulus usually occurs following intestinal malrotation or previous surgery. In this patient, however, intestinal distension accompanying mental disability and chronic constipation resulted in the development of cecal volvulus. We suggest that cecal and proximal large bowel volvulus should be considered in patients presenting with progressive abdominal distension combined with a history of neuro-developmental delay and constipation.
키워드
Cecum;Inteseinal volvulus;Lissencephaly
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