Kottler R E, Lee G K
Br J Radiol. 1984 Nov;57(683):989-90. doi: 10.1259/0007-1285-57-683-989.
The recognition of intramural caecal gas as a sign of necrosis and incipient caecal rupture in cases of acute large-bowel obstruction is emphasised. Gas was noted within the caecal wall in two cases of large-bowel obstruction due to recto-sigmoid carcinoma. At operation the proximal large bowel was found to be non-viable in one of these, and the other required a repeat operation for gangrenous bowel two days after the initial procedure. These cases illustrate the importance of specifically looking for intramural caecal gas in patients with acute large-bowel obstruction, and its value in identifying the threatened caecum, especially if marked distension is present.
强调了在急性大肠梗阻病例中，将肠壁内盲肠气体识别为坏死和早期盲肠破裂征象的重要性。在两例因直肠乙状结肠癌导致的大肠梗阻病例中，发现盲肠壁内有气体。手术时发现其中一例近端大肠已无生机，另一例在初次手术后两天因肠坏疽需要再次手术。这些病例说明了在急性大肠梗阻患者中特别留意肠壁内盲肠气体的重要性，以及其在识别有危险的盲肠方面的价值，尤其是在存在明显扩张的情况下。
