Caecal volvulus and jejunostomy : challenging diagnostic
Morera-Grau, A. (Hospital del Mar (Barcelona, Catalunya))
Membrilla Fernández, Estela ![ORCID Identifier](/img/uab/orcid.ico)
(Universitat Autònoma de Barcelona. Departament de Cirurgia)
González-Castillo, Ana María ![ORCID Identifier](/img/uab/orcid.ico)
(Hospital del Mar (Barcelona, Catalunya))
Pelegrina-Manzano, A. (Hospital del Mar (Barcelona, Catalunya))
Guerrero-Ortiz, M. A. (Hospital del Mar (Barcelona, Catalunya))
Téllez-Marqués, Clara (Hospital del Mar (Barcelona, Catalunya))
Pons-Fraguero, M. J. (Hospital del Mar (Barcelona, Catalunya))
Guzmán Ahumada, Juan Martín (Universitat Autònoma de Barcelona. Departament de Cirurgia)
Pera Román, Manuel
(Universitat Autònoma de Barcelona. Departament de Cirurgia)
Sancho Insenser, Joan Josep
(Universitat Autònoma de Barcelona. Departament de Cirurgia)
Date: |
2021 |
Abstract: |
Caecal volvulus represent the 20-40% of colonic volvulus, being the second most frequent localization. It causes intestinal occlusion symptomatology (nausea, vomiting, abdominal distension). We present a case of 45-year-old women with feeding jejunostomy tube due to connatal anoxia. She arrives at A&E after 12 h of vomits and abdominal pain. The CT scan shows a small intestine dilation that suggested a small intestine volvulus. A laparotomy is performed showing a caecal volvulus, so ileo-cequectomy with primary anastomosis is performed. After several complications, she was discharged after 60 days of hospital stay. Caecal volvulus can be challenging to diagnose by clinic, because it can be hardly differenced from other intestinal occlusion causes. CT scan can be useful to reach the diagnostic and see signs of tissue suffering. In contrast with sigma volvulus, endoscopic treatment has not shown any benefit to solve it. |
Rights: |
Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. ![Creative Commons](/img/licenses/by-nc.ico) |
Language: |
Anglès |
Document: |
Article ; altres ; Versió publicada |
Subject: |
Bowel obstruction ;
Cecum ;
Colon ;
Volvulus |
Published in: |
Journal of Surgical Case Reports, Vol. 2021 (april 2021) , ISSN 2042-8812 |
DOI: 10.1093/jscr/rjab148
PMID: 33927877
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Record created 2021-05-03, last modified 2024-07-17