[Intestinal obstruction due to perforated cecal volvulus. Case report].
Cecal volvulus is an uncommon cause of large-bowel obstruction. Its developement is due to an abnormal mobility of the ileocecal loop because of lacking attachement of ascending colon. Clinical features are frequently aspecific and should be differentiated from sigmoid volvulus and neoplastic obstruction. Therapy depends on visceral circulatory conditions at the moment of diagnosis. Possible options include endoscopic decompression, cecopexy with or without cecostomy, right colectomy with immediate or delayed anastomosis. The present paper reports the case of cecal volvulus in a 44 year old woman, successfully treated with right colectomy and primary anastomosis.
Pomata
M
M
Dipartimento di Scienze Chirurgiche, Sezione di Chirurgia Generale, Università degli Studi di Cagliari.
Dazzi
C
C
Crobu
F
F
Martinasco
L
L
Pisano
G
G
Licheri
S
S
D000328:Adult; D002429:Cecal Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007416:Intestinal Perforation / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D045822:Intestinal Volvulus / Q000150:complications*; D011860:Radiography, Abdominal; D013997:Time Factors