title: Splenic flexure volvulus in a child with chronic idiopathic intestinal pseudo-obstruction syndrome.
abstract: Splenic flexure volvulus in a child with chronic idiopathic intestinal pseudo-obstruction syndrome is extremely rare. Here we present a case report of this unusual condition in a 7-year-old girl. The splenic flexure volvulus was managed by pressure reduction from the cecal antegrade continence enema, after which elective resection of the splenic flexure and primary anastomosis were performed because she had similar attacks during 4 months after the first detorsion. Postoperatively she made an uneventful recovery. Possible factors of pathogenesis and therapeutic measures are discussed.
authors.affiliation: Department of Pediatric Surgery, Aichi Children's Health and Medical Center, 1-2 Osakada, Morioka-cho, Obu-city, Aichi 474-0031, Japan. a_osuka@sannet.ne.jp
authors.forename: Akinori
authors.initials: A
authors.lastname: Osuka
authors.forename: Ryoichi
authors.initials: R
authors.lastname: Ikegami
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Watanabe
mesh_terms: D001706:Biopsy; D002648:Child; D003082:Colectomy / Q000379:methods; D044684:Colon, Transverse; D003112:Colonic Pseudo-Obstruction / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D045822:Intestinal Volvulus / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D011860:Radiography, Abdominal; D013577:Syndrome