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[Volvulus of the cecum. A case report]
Arquivos De Gastroenterologia
|January 1, 1989
Summary
This case study details intestinal obstruction caused by cecal volvulus. Surgical repositioning and fixation (cecopexy) successfully resolved the condition, leading to a good patient recovery.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Intestinal obstruction is a significant surgical emergency.
- Cecal volvulus, a twisting of the cecum, can lead to obstruction and ischemia.
Observation:
- A patient presented with a 4-day history of severe, colicky abdominal pain, nausea, anorexia, vomiting, and abdominal distension.
- Radiography revealed a distended, gas-filled intestinal loop in the upper abdomen.
Findings:
- Surgical exploration confirmed volvulus of the cecum in the upper abdomen.
- The cecum was viable and underwent repositioning and fixation to the abdominal wall (cecopexy).
Implications:
- This case highlights cecal volvulus as a cause of intestinal obstruction.
- Cecopexy is a viable surgical option for treating cecal volvulus, ensuring good postoperative outcomes.