The least common site of volvulus in children is
Correct Answer: Large bowel volvulus
Description: .It is the twist (rotation) in the axis of the loop of the bowel either clockwise or anticlockwise. * 15% of large bowel obstruction is due to volvulus. * Sigmoid colon is the commonest site (anticlockwise)-- 65%. * Caecum is the second common site (clockwise) (C for C)--30%. It is common in females, present as intestinal obstruction. Resection and anastomosis is the treatment. *Caecal volvulus is the commonest cause of large bowel obstruction in pregnancy. X-ray shows round gas shadow in right iliac region. CT scan is very useful. Barium enema is also helpful. * Volvulus of small intestine (midgut), volvulus neonatorum, gastric volvulus are other volvulus which can occur. ref:SRB&;s manual of surgery ,ed 3,pg no 868
Category:
Surgery
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