Mizuguchi Yoshiaki, Mamada Yasuhiro, Shimizu Tetsuya, Kanda Tomohiro, Furuki Hiroyasu, Akama Yuichi, Taniai Nobuhiko, Nakamura Yoshiharu, Yoshioka Masato, Matsushita Akira, Kawano Yoichi, Uchida Eiji
Department of Surgery, Nippon Medical School.
J Nippon Med Sch. 2016;83(4):172-6. doi: 10.1272/jnms.83.172.
Cecal volvulus is characterized by torsion of the cecum around its own mesentery. However, cecal volvulus rarely develops soon after elective laparoscopic cholecystectomy. We report on a case of cecal volvulus that developed in a 54-year-old women 1 day after elective laparoscopic cholecystectomy and was successfully treated via colonoscopic decompression. The symptoms gradually improved in conjunction with recovery from postoperative ileus. Whether the incidence of volvulus has increased with the use of laparoscopic procedures, including laparoscopic cholecystectomy, has yet to be determined. Considering the current trend toward minimally invasive surgery, cecal volvulus should be considered in patients who have postoperative abdominal pain and distention.
盲肠扭转的特征是盲肠围绕自身系膜发生扭转。然而,盲肠扭转很少在择期腹腔镜胆囊切除术后不久发生。我们报告一例54岁女性在择期腹腔镜胆囊切除术后1天发生盲肠扭转,并通过结肠镜减压成功治疗的病例。随着术后肠梗阻的恢复,症状逐渐改善。包括腹腔镜胆囊切除术在内的腹腔镜手术的应用是否使扭转的发生率增加,尚有待确定。考虑到当前微创手术的趋势,对于术后出现腹痛和腹胀的患者应考虑盲肠扭转的可能。