Toledo Jefferson Sing, Correia Marley Moreira, Coutinho Rafael Rodrigues, Kifer Eduardo Fukamachi, Torres Diego de Faria Magalhães
Estácio de Sá University, Brazil.
Int J Surg Case Rep. 2017;36:143-146. doi: 10.1016/j.ijscr.2017.05.021. Epub 2017 May 18.
Bowel obstruction is one of the principal non-traumatic causes of general surgery emergencies, both in Brazil and worldwide. This condition can be classified according to the degree (complete or incomplete), clinical course (acute or chronic) or nature (mechanical, vascular or functional) of the obstruction.
ESS, a 62-year old Brazilian woman from Rio de Janeiro, was admitted to the emergency department complaining of constipation of two weeks' duration. She also reported fever and fecal vomiting in the preceding two days.A syndromic diagnosis of bowel obstruction was made, and the patient was referred for CT. The sigmoid colon, descending colon, transverse colon, ascending colon, the cecum and the terminal ileum were resected.
Colorectal cancer is one of the most common forms of cancer in the elderly, perforation of the cecum occurs in only around 3-8% of cases. 15 This can be explained by the fact that patients with colorectal cancer present with wasting syndrome before the bowel lumen becomes completely obstructed. In a literature review conducted for this study, only one publication was found in which rupture of the cecum was associated with colorectal cancer.
Although rupture of the cecum associated with colorectal cancer is a rare pathology, it constitutes a surgical emergency; therefore, all surgeons should be aware of the possibility.
肠梗阻是巴西和全球普通外科急诊的主要非创伤性病因之一。这种情况可根据梗阻的程度（完全性或不完全性）、临床病程（急性或慢性）或性质（机械性、血管性或功能性）进行分类。
ESS是一名来自里约热内卢的62岁巴西女性，因持续两周的便秘症状被收入急诊科。她还报告了前两天出现发热和粪性呕吐。做出了肠梗阻的综合征诊断，患者被转诊进行CT检查。切除了乙状结肠、降结肠、横结肠、升结肠、盲肠和回肠末端。
结直肠癌是老年人中最常见的癌症形式之一，盲肠穿孔仅发生在约3-8%的病例中。15这可以用以下事实来解释，即结直肠癌患者在肠腔完全梗阻之前就会出现消瘦综合征。在本研究进行的文献综述中，仅发现一篇出版物报道盲肠破裂与结直肠癌有关。
虽然与结直肠癌相关的盲肠破裂是一种罕见的病理情况，但它构成了外科急症；因此，所有外科医生都应意识到这种可能性。
