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08:49
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Cecal volvulus causing postoperative intestinal obstruction: report of a case
C W Konvolinka1, R A Moore, K Bajwa
1Department of Surgery, Conemaugh's Memorial Medical Center, an affiliate of Temple University, Johnstown, Pennsylvania 15905, USA.
Diseases of the Colon and Rectum
|June 8, 2001
Summary
Cecal volvulus, a rare intestinal obstruction after surgery, can occur post-colectomy. Prompt diagnosis and surgical correction, like detorsion and cecopexy, are crucial to prevent high mortality rates.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Surgery
Background:
- Cecal volvulus is an uncommon but serious complication following major abdominal surgery, particularly colectomies.
- Early postoperative intestinal obstruction necessitates prompt diagnosis and intervention to improve patient outcomes.
Observation:
- A case of cecal volvulus is presented in the early postoperative period after a left colon resection for malignancy.
- Clinical assessment and abdominal radiography indicated cecal volvulus, leading to emergent laparotomy.
Findings:
- The patient underwent surgical correction, involving detorsion of the twisted cecum and reperitonealization with cecopexy.
- This represents the second reported case of cecal volvulus complicating a left colectomy, highlighting its rarity.
Implications:
- Timely diagnosis and surgical management of cecal volvulus are critical due to the associated high mortality risk.
- This case underscores the importance of considering cecal volvulus in the differential diagnosis of postoperative ileus after left colectomy.
- Surgical techniques such as detorsion and cecopexy offer a viable treatment option for cecal volvulus.
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