{"title":"眼球扭转1例报告并文献复习","authors":"Binyam Yohannes, M. Muleta","doi":"10.2147/oas.s324705","DOIUrl":null,"url":null,"abstract":"Background: Cecal volvulus is a rare cause of adult intestinal obstruction occurring 2.8– 7.1 persons per million per year. Its rarity and the variety of clinical symptoms may lead to a delay in the diagnosis and appropriate intervention. Case Presentation: Here, we present a 25-year old female patient from a rural area who presented with a 3-day history of colicky abdominal pain and vomiting of bilious intestinal content; she had also developed abdominal distension, failed to pass feces, and flatus. She underwent emergency laparotomy, where the intraoperative finding was a perforated 360 degrees counterclockwise volvulated cecum, and a right hemicolectomy was performed with primary ileotransverse anastomosis. Discussion: Cecal volvulus is the axial rotation of the cecum, ascending colon, and terminal ileum. This can result either in complete or partial obstruction of the affected segment of the intestine with impending vascular compromise and gangrene, which mandates a timely diagnosis and intervention. Conclusion: Cecal volvulus is a rare cause of adult intestinal obstruction, and urgent surgical intervention saves the life of patients. of surgery from to surgical procedures covered. Novel techniques and the utilization of new instruments and materials, including implants and prostheses that optimize outcomes constitute areas of interest. The manuscript management system completely online includes a very and peer-review all to","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":" ","pages":""},"PeriodicalIF":0.6000,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"7","resultStr":"{\"title\":\"Cecal Volvulus: A Case Report and Review of the Literature\",\"authors\":\"Binyam Yohannes, M. Muleta\",\"doi\":\"10.2147/oas.s324705\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Cecal volvulus is a rare cause of adult intestinal obstruction occurring 2.8– 7.1 persons per million per year. Its rarity and the variety of clinical symptoms may lead to a delay in the diagnosis and appropriate intervention. Case Presentation: Here, we present a 25-year old female patient from a rural area who presented with a 3-day history of colicky abdominal pain and vomiting of bilious intestinal content; she had also developed abdominal distension, failed to pass feces, and flatus. She underwent emergency laparotomy, where the intraoperative finding was a perforated 360 degrees counterclockwise volvulated cecum, and a right hemicolectomy was performed with primary ileotransverse anastomosis. Discussion: Cecal volvulus is the axial rotation of the cecum, ascending colon, and terminal ileum. This can result either in complete or partial obstruction of the affected segment of the intestine with impending vascular compromise and gangrene, which mandates a timely diagnosis and intervention. Conclusion: Cecal volvulus is a rare cause of adult intestinal obstruction, and urgent surgical intervention saves the life of patients. of surgery from to surgical procedures covered. Novel techniques and the utilization of new instruments and materials, including implants and prostheses that optimize outcomes constitute areas of interest. The manuscript management system completely online includes a very and peer-review all to\",\"PeriodicalId\":56363,\"journal\":{\"name\":\"Open Access Surgery\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2021-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"7\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Open Access Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2147/oas.s324705\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Open Access Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2147/oas.s324705","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
Cecal Volvulus: A Case Report and Review of the Literature
Background: Cecal volvulus is a rare cause of adult intestinal obstruction occurring 2.8– 7.1 persons per million per year. Its rarity and the variety of clinical symptoms may lead to a delay in the diagnosis and appropriate intervention. Case Presentation: Here, we present a 25-year old female patient from a rural area who presented with a 3-day history of colicky abdominal pain and vomiting of bilious intestinal content; she had also developed abdominal distension, failed to pass feces, and flatus. She underwent emergency laparotomy, where the intraoperative finding was a perforated 360 degrees counterclockwise volvulated cecum, and a right hemicolectomy was performed with primary ileotransverse anastomosis. Discussion: Cecal volvulus is the axial rotation of the cecum, ascending colon, and terminal ileum. This can result either in complete or partial obstruction of the affected segment of the intestine with impending vascular compromise and gangrene, which mandates a timely diagnosis and intervention. Conclusion: Cecal volvulus is a rare cause of adult intestinal obstruction, and urgent surgical intervention saves the life of patients. of surgery from to surgical procedures covered. Novel techniques and the utilization of new instruments and materials, including implants and prostheses that optimize outcomes constitute areas of interest. The manuscript management system completely online includes a very and peer-review all to
期刊介绍:
Open Access Surgery is an international, peer-reviewed, Open Access journal that focuses on all aspects of surgical procedures and interventions. Patient care around the peri-operative period and patient outcomes post surgery are key topics for the journal. All grades of surgery from minor cosmetic interventions to major surgical procedures will be covered. Novel techniques and the utilization of new instruments and materials, including implants and prostheses that optimize outcomes constitute major areas of interest. Contributions regarding patient satisfaction, preference, quality of life, and their role in optimizing new surgical procedures will be welcomed. The journal is characterized by the rapid reporting of case reports, clinical studies, reviews and original research.