General Surgery Department, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore.
General Surgery Department, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore; Department of General Surgery, Woodlands Health Campus, 2 Yishun Central 2, Singapore.
Surgeon. 2022 Oct;20(5):e262-e265. doi: 10.1016/j.surge.2021.09.004. Epub 2021 Nov 14.
Caecal volvulus is a rare cause of intestinal obstruction, of which the caecal bascule is the most uncommonly encountered subtype. Definitive radiological diagnosis of a caecal bascule can be challenging. Lack of familiarity with this rare condition can contribute to delayed diagnosis and treatment, which may result in unnecessary morbidity. This article highlights the case of a patient who presented with a diagnostic challenge, and also discusses the pathogenesis and diagnostic features of caecal bascules. Various options in the surgical management of caecal bascules are reviewed, including the feasibility of laparoscopic-assisted approaches in the emergency setting.
盲肠扭转是一种罕见的肠梗阻病因,其中盲肠套叠是最不常见的亚型。盲肠套叠的明确放射学诊断具有一定挑战性。对这种罕见疾病缺乏了解可能导致诊断和治疗延迟,从而导致不必要的发病率。本文强调了一个具有诊断挑战性的病例,并讨论了盲肠套叠的发病机制和诊断特征。还回顾了盲肠套叠的各种手术治疗选择,包括在紧急情况下腹腔镜辅助方法的可行性。