Ramanathan Bhovineey, Ramachandran Vinod, Tan Kimberley
Department of Surgery, Lyell McEwin Hospital, Adelaide, AUS.
Cureus. 2024 Apr 18;16(4):e58505. doi: 10.7759/cureus.58505. eCollection 2024 Apr.
This case report presents a fascinating scenario involving a 60-year-old female who was diagnosed with cecal volvulus secondary to appendicitis. The patient's initial presentation included a three-day history of periumbilical pain accompanied by reduced oral intake and an inability to pass stool. Through a systematic approach involving detailed history-taking, comprehensive physical examinations, and pertinent imaging studies, a precise diagnosis of cecal volvulus induced by appendicitis was established. Subsequently, the patient underwent a timely operation, leading to a successful resolution of her condition and a remarkably swift recovery post-surgery. This unique case prompts a deeper exploration into the incidence and management of this rare phenomenon, where the seemingly unrelated condition of appendicitis precipitated a cecal volvulus. Given the unusual nature of this presentation, it underscores the importance of considering atypical etiologies in patients presenting with signs and symptoms of bowel obstruction. This discussion aims to shed light on the diagnostic challenges, treatment strategies, and outcomes associated with this intriguing interplay of pathologies, offering valuable insights for clinicians encountering similar cases in their practice.
本病例报告呈现了一个引人入胜的病例,涉及一名60岁女性,她被诊断为阑尾炎继发盲肠扭转。患者最初的症状包括脐周疼痛3天,伴有口服摄入量减少和无法排便。通过系统的方法,包括详细的病史采集、全面的体格检查和相关的影像学检查,确诊为由阑尾炎引起的盲肠扭转。随后,患者及时接受了手术,病情得以成功解决,术后恢复非常迅速。这个独特的病例促使我们更深入地探讨这种罕见现象的发生率和处理方法,即看似无关的阑尾炎导致了盲肠扭转。鉴于这种表现的不寻常性质,它强调了在出现肠梗阻体征和症状的患者中考虑非典型病因的重要性。本讨论旨在阐明与这种有趣的病理相互作用相关的诊断挑战、治疗策略和结果,为临床医生在实践中遇到类似病例提供有价值的见解。