Paediatric caecal volvulus, a rare presentation of african degenerative leiomyopathy - a case report.

ABSTRACT:

Background

Caecal volvulus is a rare condition with an unknown prevalence, particularly in paediatric patients. Predisposing factors include fixation anomalies of the colon (with or without malrotation) and significant intestinal distension due to conditions such as chronic constipation, post-operative ileus, Hirschsprung disease (HD), or paediatric intestinal pseudo-obstruction (PIPO). African degenerative leiomyopathy (ADL) is a regional variant of visceral myopathy characterised by a fibrotic "tiger-striped" degeneration of the muscular layers of the colon, which causes PIPO. It is endemic to Sub-Saharan Africa and is associated with poor outcomes. To our knowledge, this is the first case in which a caecal volvulus led to the diagnosis of ADL.

Case presentation

An 11-year

SUBMITTER: Palmisani F 

PROVIDER: S-EPMC12835031 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature