Cecal volvulus: Report of seven cases and literature review

Shung Haur Yang*, Jen Kou Lin, Rheun Chuan Lee, Anna Fen Yau Li

*此作品的通信作者

研究成果: Article同行評審

12 引文 斯高帕斯(Scopus)

摘要

Background. Cecal volvulus is an abdominal emergency and delay in its diagnosis and treatment can result in severe complications. We reviewed these cases in order to increase the understanding of cecal volvulus (CV) to promote early diagnosis and better management. Methods. In this retrospective study of seven patients (all male; mean age ± standard deviation, 63.4 ± 17.3 years) over a 16-year period, we reviewed radiographs, for diagnostic accuracy, and the results of surgical procedures for better future management. Results. The symptoms of CV related to obstruction had a mean of duration of 6.85 days (range, 2-20 days). The preoperative diagnosis rate was 57.1%. Three types of CV (bascule, clockwise and counterclockwise) were found. There were three treatment failures resulting in two deaths. There were two cases of metachronous volvulus, one in the sigmoid colon and one in the small intestine. Conclusions. Resection is indicated for gangrene or perforation and is highly suggested in underlying bowel disease or recurrent operative procedures. For uncomplicated viable CV, cecopexy provides fair results. Metachronous volvulus should always be considered when obstruction recurs.

原文English
頁(從 - 到)482-486
頁數5
期刊Chinese Medical Journal (Taipei)
63
發行號6
出版狀態Published - 6月 2000

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