Diab Jason, Bender Kyle, Lorenzo Aldenb, Merrett Neil
Department Upper Gastrointestinal Surgery, Bankstown Lidcombe Hospital, Bankstown, NSW, Australia; School of Medicine, University of Notre Dame, Sydney, Australia.
Department Upper Gastrointestinal Surgery, Bankstown Lidcombe Hospital, Bankstown, NSW, Australia; Australian Defence Force, Australia.
Int J Surg Case Rep. 2020;77:219-221. doi: 10.1016/j.ijscr.2020.10.142. Epub 2020 Nov 4.
Surgery for gastric cancer is associated with a high morbidity and mortality rate. Postoperative complications are not uncommon in this setting and an understanding of risk factors and patient profile can impact clinical outcomes.
We present a rare event where a 64 year old patient post gastrectomy for a T1 gastric carcinoma developed a caecal volvulus leading to critical instability. This demonstrates how two events can occur in time leading to critical instability. Exploratory laparotomy revealed a caecal volvulus that had obstructed the jejunostomy site. She had a right hemicolectomy and the jejunostomy was unkinked. This is the first documented case report of this type in the literature.
Surgical resection remains the cornerstone therapy for gastric cancer. Postoperative complications are not uncommon in this setting where risk factors impact clinical outcomes. The importance of risk factors has been demonstrated in patients who underwent gastrectomy. We present a rare event where a patient post gastrectomy develops a caecal volvulus demonstrating how two events can occur in time leading to critical instability.
Post operative complications are not uncommon in gastrectomies. Although common things occur commonly, one must consider rare events when a patient significantly deteriorates.
胃癌手术的发病率和死亡率较高。在此情况下，术后并发症并不罕见，了解风险因素和患者情况会影响临床结局。
我们呈现了一个罕见事件，一名64岁因T1期胃癌行胃切除术后的患者发生了盲肠扭转，导致病情严重不稳定。这表明两个事件如何相继发生导致病情严重不稳定。剖腹探查发现盲肠扭转阻塞了空肠造口部位。她接受了右半结肠切除术，空肠造口不再扭结。这是文献中首例此类有记录的病例报告。
手术切除仍然是胃癌的主要治疗方法。在这种情况下，术后并发症并不罕见，风险因素会影响临床结局。风险因素的重要性已在接受胃切除术的患者中得到证实。我们呈现了一个罕见事件，即胃切除术后的患者发生盲肠扭转，展示了两个事件如何相继发生导致病情严重不稳定。
胃切除术中术后并发症并不罕见。虽然常见的事情经常发生，但当患者病情显著恶化时，必须考虑罕见事件。
