Cecal volvulus associated with mobile cecum in Cornelia de Lange syndrome: Report of a case

Masataka Takahashi, Toshihiko Watanabe, Hideaki Tanaka, Waka Yamada, Koji Yamada, Yasushi Fuchimoto, Shunsuke Nosaka, Yutaka Kanamori

Division of Radiology, Department of Radiology, National Center for Child Health and Development, Tokyo, Japan.
Division of Surgery, Department of Surgical Subspecialties, National Center for Child Health and Development, Tokyo, Japan.

DOI: 10.4236/ojped.2013.32018                

Abstract

We report a case of cecal volvulus in an 11-year-old girl who had been diagnosed with Cornelia de Lange syndrome. She had undergone operative fundoplication several years earlier and was referred to our institute for treatment of intestinal obstruction. A severely dilated colon was detected on abdominal roentgenogram, and abdominal CT and colonic enema strongly suggested cecal volvulus. Emergency operation was performed and cecal volvulus with mobile cecum was ascertained; the volvulus was corrected and the mobile cecum was fixed to the peritoneum on the right side. Neurologically handicapped patients sometimes suffer from cecal volvulus, and patients with Cornelia de Lange syndrome are at especially high risk. Moreover, operative fundoplication promotes intestinal dilatation and it may be another risk factor for cecal volvulus.

Keywords

Cecal Volvulus; Cornelia de Lange Syndrome; Whirl Sign

Conflicts of Interest

The authors declare no conflicts of interest.

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