Colonic tumour precipitating caecal volvulus within a diaphragmatic hernia
Ricky Harminder Bhogal1, Kambiz Maleki, Rajan Patel
1Ricky Harminder Bhogal, Rajan Patel, Department of Gastroenterological Surgery, Dudley Group of Hospitals, Russell's Hall Hospital, West Midlands DY1 2HQ, United Kingdom.
Abstract:
An 85-year-old woman presented with sudden onset of generalised abdominal pain and absolute constipation for 4 d. On examination she had a distended abdomen. Plain abdominal radiograph revealed a gas filled viscous within the left upper quadrant. Subsequent computed tomography suggested caecal volvulus herniated through a left diaphragmatic hernia. The patient underwent reduction of the internal hernia, right hemicolectomy and mesh repair of the diaphragmatic hernia. Postoperative recovery was uneventful. Histology revealed a Dukes' A colonic cancer within the caecum. Herniation of caecal volvulus through a diaphragmatic hernia is a very rare condition and may have been precipitated by the colonic tumour.
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