Solis Rojas Carolina, Vidrio Duarte Ramon, García Vivanco Diego Martín, Montalvo-Javé Eduardo E
Facultad de Medicina, Universidad Anáhuac México Norte, Huixquilucan de Degollado, Mexico.
Department of General Surgery, Hospital General de México Dr. Eduardo Liceaga, Mexico City, Mexico.
Case Rep Gastroenterol. 2020 Apr 22;14(1):206-211. doi: 10.1159/000506933. eCollection 2020 Jan-Apr.
Cecal volvulus is a rare cause of intestinal obstruction, with multifactorial etiologies. This is a case report describing a 52-year-old female with a cecal volvulus diagnosis made during the laparotomy procedure, which was treated with a right hemicolectomy with a side-to-side ileotransverse anastomosis. The aim of this report is to emphasize the importance of a diagnosis and appropriate treatment in this rare pathology in abdominal procedures. In this particular case, the patient benefited from an early surgical intervention without further complications, as well as an adequate postoperative evolution; it is important to acknowledge and consider this pathology during differential diagnosis, and not delay the treatment in patients with cecal volvulus. A critical review of the literature is included and discussed.
盲肠扭转是肠梗阻的一种罕见病因,病因多方面。这是一例病例报告,描述了一名52岁女性,在剖腹手术过程中诊断为盲肠扭转,采用右半结肠切除术并行端端回肠横结肠吻合术进行治疗。本报告的目的是强调在腹部手术中对这种罕见病理情况进行诊断和适当治疗的重要性。在这个特殊病例中,患者得益于早期手术干预,未出现进一步并发症,术后恢复良好;在鉴别诊断时认识并考虑这种病理情况很重要,对于盲肠扭转患者不要延误治疗。文中还纳入并讨论了对文献的批判性回顾。