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Query: UMLS:C0042961 (volvulus)
 4,305 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Colonic volvulus is a rare disease in children. Delayed diagnosis of the condition can often be fatal, especially in pediatric patients with mental retardation. We herein present the case of a female pediatric patient with colonic volvulus, prune belly syndrome, and mental retardation. Preoperative CT scans showed the characteristic signs of this disease. The volvulus occurred in the proximal colon of the colostomy. The release of the colonic volvulus and reconstruction of the colostomy were performed without the resection of the ischemic colon. The postoperative clinical course was uneventful.
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PMID:Colonic volvulus detected by CT scan in a case with mental retardation and prune belly syndrome. 2246 36

Prune belly syndrome is a rare congenital malformation of unknown aetiology, composed of a triad of deficient abdominal wall muscle, cryptorchidism and urinary tract anomalies. The majority of patients have associated pulmonary, skeletal, cardiac, and gastrointestinal defects. This was a prospective, case finding study that was conducted in the main paediatric hospitals in Khartoum state, during the period December 2015 to September 2016. A total of 15 patients with prune belly syndrome were collected. Patients' characteristics were noted including socio-demographic data, laboratory and radiological investigations and any medical or surgical intervention. There were 12 males and 3 females with a male to female ratio of 4:1. Most of the patients (80%) had hydronephrosis and hydroureter. The study revealed that 60% of the patients had associated anomalies, there were 4 (26.6%) with cardiac defects, 3 (20%) with orthopaedic defects one patient with small bowel volvulus and one patient with cleft lip. 6 (40%) patients received medical intervention and 8 (53%) patients underwent surgical procedures. At the last follow up visit, 2 (13.4%) patients had normal renal function tests, 8 (53.3%) ended with chronic kidney disease, and 5 died with a mortality rate of 33.3%. Prune belly syndrome is a rare entity with wide variability in severity and clinical manifestations. The mortality in prune belly syndrome remains high despite medical and surgical interventions.
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PMID:Prune belly syndrome: A report of 15 cases from Sudan. 2921 70