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A CASE OF PEDIATRIC CECAL VOLVULUS PRESENTING WITH ABDOMINAL PAIN AND VOMITING

Hussam K. Alzahrani,1 Yasir K. Alzahrani,1 Abdullah M. Binjabi,1 Muhannad S. Alzahrani,2 Abdulmohsen M. Alsofi,1 Abdulaziz A. Joharji1

Cecal volvulus is an emergency surgical condition that is infrequently encountered in the pediatric age group. We describe an 11-year-old girl who presented with epigastric pain, dizziness, and bilious vomiting. A plain radiograph of the abdomen and barium enema examination revealed findings consistent with cecal volvulus. Transverse colon volvulus colopexy with appendectomy was performed on the patient and consisted of twisting of the volvulus with fixation of the mobile colon to the abdominal wall. Cecostomy with appendectomy were also performed. Given that patients with cecal volvulus may present with nonspecific symptoms, clinicians should be aware that radiographic studies play a major role in establishing the diagnosis, and these may help in preventing diagnostic and treatment delays. Keywords: Cecal disease, cecal volvulus, intestinal volvulus, pediatric

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