title: Splenic flexure colonic volvulus: a pediatric case report.
abstract: Volvulus of the colon is an unusual cause of intestinal obstruction in the pediatric population. Splenic flexure colonic volvulus is the most uncommon site in children. We report a case of splenic flexure volvulus (SFV) in a 21-month-old boy with underlying cerebral palsy and epilepsy. He experienced abdominal distension, bilious vomiting and absence of bowel movement for 2 days. Abdominal radiography showed a proximal distended colon and a "coffee bean sign" at the left upper quadrant. Barium enema revealed a "bird beak sign" at the splenic flexure, which confirmed the diagnosis of SFV. Detorsion of SFV occurred while undergoing exploratory laparotomy. He received regular follow-up in the subsequent 3 years without recurrence.
authors: Department of Emergency Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
authors: Chih-Chung
authors: CC
authors: Hsueh
authors: Twei-Shiun
authors: TS
authors: Jaw
authors: Jao-Yu
authors: JY
authors: Lin
authors: Hon-Man
authors: HM
authors: Chan
mesh_terms: D044684:Colon, Transverse; D003108:Colonic Diseases / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007223:Infant; D045822:Intestinal Volvulus / Q000175:diagnosis / Q000601:surgery*; D008297:Male