Coco Danilo, Leanza Silvana
Department of General Surgery, Ospedali Riuniti Marche Nord, Pesaro, Italy.
Division of General Surgery, Carlo Urbani Hospital, Jesi, Italy.
Open Access Maced J Med Sci. 2019 Jul 12;7(13):2150-2153. doi: 10.3889/oamjms.2019.555. eCollection 2019 Jul 15.
Caecum volvulus (CV) is defined as an axial twisting that causes an inversion position of the caecum, ascending colon and terminal ileum. This anatomical finding is responsible for some clinical features. Obstruction and strangulation are the most important and life-threatening.
We are presenting a 50 years old woman presented to the hospital with sudden acute severe abdominal pain and distension of about 24 hours associated with vomiting and no flatus.
Mortality in patients with CV can be kept near 10%-12% if operative intervention is accomplished before caecum strangulation. Once the cecum has become gangrenous, a death rate of 30 to 40% can be expected. Tailored made surgery on patients status is the strategy.
盲肠扭转（CV）被定义为一种导致盲肠、升结肠和回肠末端发生倒转位置的轴向扭转。这一解剖学发现导致了一些临床特征。梗阻和绞窄是最重要且危及生命的。
我们报告一名50岁女性，因突发急性剧烈腹痛和腹胀约24小时入院，伴有呕吐且无排气。
如果在盲肠绞窄前进行手术干预，CV患者的死亡率可维持在10% - 12%左右。一旦盲肠发生坏疽，预计死亡率为30%至40%。根据患者状况进行定制化手术是策略。
