Back to Search
Start Over
Elective laparoscopic right colectomy for caecal volvulus: Case report and literature review
- Source :
- Cirugía y Cirujanos (English Edition). 85(1):87-92
- Publication Year :
- 2017
- Publisher :
- Elsevier BV, 2017.
-
Abstract
- Background Caecal volvulus is an uncommon cause of intestinal obstruction. Its clinical presentation is non-specific, with the diagnosis usually confirmed by barium enema and abdominal computed tomography. Treatment depends on many factors, and minimally invasive approaches are becoming the treatment of choice. Clinic case A 54 years old female, admitted to the Emergency Department with clinical symptoms of intestinal obstruction. On physical examination she had a palpable, firm, and tympanitic mass in the right abdomen, with peritoneal irritation. The radiographs of the abdomen, barium enema and abdominal computed tomography showed caecal volvulus. As she showed a full remission after the barium enema, with no clinical or biochemical data of systemic inflammatory response syndrome or peritoneal irritation, she was discharged to her home. Two weeks later, a laparoscopic right hemicolectomy was performed with an ileo-transverse extracorporeal anastomosis. Her progress was satisfactory, and she was discharged 4 days after surgery due to improvement. Conclusion Caecal volvulus is a rare cause of intestinal obstruction, with high mortality rates, and is caused by excessive mobility of the caecum. Its incidence is increasing. Treatment depends on many factors. Early non-surgical untwisting, followed by an elective laparoscopic surgical procedure offers several advantages and reduces mortality.
- Subjects :
- medicine.medical_specialty
Colon
medicine.medical_treatment
Contrast Media
Ocean Engineering
Enema
Peritonitis
03 medical and health sciences
chemistry.chemical_compound
0302 clinical medicine
Ileum
Ischemia
medicine
Cecal Diseases
Humans
Elective surgery
Laparoscopy
Colectomy
Barium enema
medicine.diagnostic_test
business.industry
Ileal Diseases
General surgery
Anastomosis, Surgical
Middle Aged
digestive system diseases
Surgery
Barium sulfate
medicine.anatomical_structure
chemistry
Elective Surgical Procedures
030220 oncology & carcinogenesis
Right Colectomy
Chronic Disease
Abdomen
030211 gastroenterology & hepatology
Female
Barium Sulfate
Emergencies
business
Tomography, X-Ray Computed
Intestinal Obstruction
Intestinal Volvulus
Subjects
Details
- ISSN :
- 24440507
- Volume :
- 85
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Cirugía y Cirujanos (English Edition)
- Accession number :
- edsair.doi.dedup.....61ae87f639ff217edeabadd862cce124
- Full Text :
- https://doi.org/10.1016/j.circen.2016.12.008