Post-cesarean section cecal volvulus.
Cecal volvulus after cesarean section is rare. Symptoms include abdominal pain, nausea, vomiting, constipation, cystic abdominal mass, and high-pitched bowel sounds. Abdominal x-ray photography is often diagnostic, revealing a dilated cecum with a single fluid level and distended loops of small bowel. The main differentiating factors in post-cesarean large bowel distention are sigmoid volvulus and pseudo-obstruction of the colon. Treatment should accomplish derotation, decompression, and anchoring to prevent recurrence.
Fanning
J
J
Department of Obstetrics and Gynecology, Geisinger Medical Center, Danville, Pennsylvania.
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D000328:Adult; D002429:Cecal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology*; D011247:Pregnancy; D011859:Radiography