左侧腹腔镜腹膜后肾输尿管切除术后盲肠扭转
Caecal volvulus following left-side laparoscopic retroperitoneal nephroureterectomy.
作者信息
Abdoolraheem Mohammad Yusuf, Quraishi Mohammed Kamil, Tonsi Alfredo, Henderson Alastair
机构信息
School of Medical Education, King's College London, London, UK.
Urology, Kent and Canterbury Hospital, Canterbury, Kent, UK.
出版信息
BMJ Case Rep. 2019 Jul 4;12(7):e228878. doi: 10.1136/bcr-2018-228878.
Caecal volvulus is an uncommon cause of intestinal obstruction, with a high associated morbidity and mortality. Caecal volvulus is a very rare complication following retroperitoneal surgery. As such, a high degree of clinical suspicion is warranted post operatively to minimise delay in definitively investigating and managing this condition. We present a case of an 80-year-old Caucasian woman who was admitted for an elective left-sided laparoscopic retroperitoneal nephroureterectomy for transitional cell carcinoma of the left upper pole renal calyx. Postoperatively, the patient developed intestinal obstruction, secondary to caecal volvulus. The patient underwent an emergency laparotomy and limited right-sided colonic resection with primary anastomosis.
盲肠扭转是肠梗阻的一种罕见病因，其发病率和死亡率都很高。盲肠扭转是腹膜后手术后一种非常罕见的并发症。因此，术后需要高度的临床怀疑，以尽量减少明确诊断和处理这种情况的延误。我们报告一例80岁的白人女性病例，她因左上极肾盏移行细胞癌入院接受择期左侧腹腔镜腹膜后肾输尿管切除术。术后，患者因盲肠扭转继发肠梗阻。患者接受了急诊剖腹手术及有限的右侧结肠切除术并一期吻合。
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