Whereas sigmoid volvulus can often be decompressed by sigmoidoscopy or colonoscopy, transverse colon volvulus must be surgically detorsed [1]. The choice of surgical approach in children is a matter of debate. Avoiding an aggressive intervention such as partial colectomy may minimise post surgical complications, and this was the choice from our decision making [5]. Surgical options include:
detorsion alone, detorsion with colopexy, resection with primary anastomosis, or resection with colostomy or ileostomy and mucous fistula. Both detorsion and detorsion with colopexy have a higher rate of recurrence than resection [1, 2, 4]. Resection with or without primary ACP-196 clinical trial anastomosis is the treatment of choice for transverse colon volvulus to prevent recurrence [1, 4]. Conclusion In conclusion transverse colon volvulus is rare, and further more so in the pediatric group. Diagnosis can be challenging and the effective management remains controversial. Many surgeons may never have seen
a single case of transverse colon volvulus, and it therefore may not be considered in the differential diagnosis of recurrent intermittent abdominal pain or acute intestinal obstruction. This case highlights that even following repeat biopsies, histology Dabrafenib chemical structure may be normal and hence no identifiable cause to the disease pathology is revealed. Hence this can further complicate the management process in an already unusual and rare case. Consent Written informed consent was obtained from the patient for publication of this case report. A copy of the written consent is available
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