Neilson I R, Youssef S
Department of Pediatric Surgery, Montreal Children's Hospital, McGill University, Quebec, Canada.
J Pediatr Surg. 1990 Nov;25(11):1177-9. doi: 10.1016/0022-3468(90)90758-2.
Despite advances in the diagnosis of Hirschsprung's disease, occasionally there is still a delay in presentation. We report an unrecognized case of Hirschsprung's disease in a patient who presented at 11 years of age with volvulus of the transverse colon. This is the eighth reported case of colonic volvulus secondary to Hirschsprung's disease in children and the first occurring in the transverse colon. A literature review of other causes of colonic volvulus in children showed only 31 cases occurring in the sigmoid colon and nine in the transverse colon. The treatment of unsuspected colonic volvulus in children is discussed.
尽管先天性巨结肠症的诊断取得了进展，但偶尔仍会出现就诊延迟的情况。我们报告了一例11岁时因横结肠扭转就诊的未被识别的先天性巨结肠症病例。这是第八例报道的儿童先天性巨结肠症继发结肠扭转病例，也是首例发生在横结肠的病例。对儿童结肠扭转其他病因的文献综述显示，仅31例发生在乙状结肠，9例发生在横结肠。本文讨论了儿童未被怀疑的结肠扭转的治疗方法。
