Department of Gastroenterology, Kanagawa Prefectural Ashigarakami Hospital, Japan.
Department of Internal Medicine, Kanagawa Prefectural Ashigarakami Hospital, Japan.
Intern Med. 2021 Mar 15;60(6):851-854. doi: 10.2169/internalmedicine.5532-20. Epub 2020 Oct 14.
Cecal volvulus is an uncommon cause of colonic obstruction. First-line treatment for cecal volvulus is surgery, as nonoperative management is rarely achievable. We herein report an extremely rare case of a patient with spontaneously resolved cecal volvulus; no recurrence occurred without elective surgery. A 47-year-old woman presented with acute lower abdominal pain. She was misdiagnosed with small bowel obstruction and treated conservatively. A few hours later, she was correctly diagnosed with cecal volvulus. Subsequently, her symptoms and computed tomography findings of cecal volvulus completely disappeared. She refused elective surgery, but no recurrence occurred during five months of follow-up.
盲肠扭转是一种不常见的结肠梗阻原因。盲肠扭转的一线治疗方法是手术,因为非手术治疗很少能实现。本文报告了一例极为罕见的盲肠扭转自行缓解的病例;未经择期手术,无复发。一位 47 岁女性因急性下腹痛就诊。她被误诊为小肠梗阻并接受保守治疗。几小时后,她被正确诊断为盲肠扭转。随后,她的症状和盲肠扭转的计算机断层扫描结果完全消失。她拒绝择期手术,但在 5 个月的随访中没有复发。