酷似急性阑尾炎的盲肠扭转：一例罕见病例报告
Cecal volvulus mimicking acute appendicitis: A rare case report.
作者信息
Mekoya Kalkidan Kibret, Gebreselassie Kaleab Habtemichael, Haile Tibebu Geremew, Bisetegn Temesgen Mamo, Tewelde Wegahtay Gebrekidan
机构信息
Department of Surgery, Werabe University and Werabe Comprehensive Specialized Hospital, Werabe, Ethiopia.
Department of Surgery, Urology Unit, Werabe Comprehensive Specialized Hospital, Werabe, Ethiopia.
出版信息
Int J Surg Case Rep. 2025 Feb;127:110843. doi: 10.1016/j.ijscr.2025.110843. Epub 2025 Jan 4.
INTRODUCTION
Cecal volvulus is a rare condition, accounting for about 1-5 % of intestinal obstruction causes. It carries high morbidity and mortality unless diagnosed and managed early.
CASE PRESENTATION
We present a case of 33 yrs. old male patient who initially presented with typical sign and symptoms of appendicitis but intraoperatively was found to have viable cecal volvulus.
DISCUSSION
Diagnosing cecal volvulus can be challenging because its presentation often mimics that of other causes of intestinal obstruction. Additional investigative modalities such as barium studies and CT scan are helpful in diagnosing the condition.
CONCLUSION
Cecal volvulus is a clear emergency that require urgent surgery. In our case presentation highlight unusual clinical presentation of cecal volvulus.
引言
盲肠扭转是一种罕见病症，约占肠梗阻病因的1%-5%。除非早期诊断并处理，否则其发病率和死亡率很高。
病例报告
我们报告一例33岁男性患者，最初表现为典型的阑尾炎症状和体征，但术中发现为存活型盲肠扭转。
讨论
诊断盲肠扭转具有挑战性，因为其表现常与其他肠梗阻病因相似。钡剂造影和CT扫描等其他检查手段有助于诊断该病。
结论
盲肠扭转是明确的急症，需要紧急手术。在我们的病例报告中突出了盲肠扭转不寻常的临床表现。
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