Weiss B D
Postgrad Med. 1982 Aug;72(2):189-94. doi: 10.1080/00325481.1982.11716164.
Cecal volvulus is a malrotational abnormality of the intestine that causes obstruction. Diagnosis is difficult and, if delayed, the results may be intestinal ischemia, perforation, sepsis, and even death. Cecal ischemia or gangrene cannot always be determined from physical and laboratory findings. Although not always conclusive, contrast radiography may be helpful; however, laparotomy is often required for definitive diagnosis and therapy. If vascular compromise of the cecum is found, right hemicolectomy is the treatment of choice. In the absence of ischemia, decompressive tube cecostomy, simple detorsion, and cecopexy have all been recommended, but the optimal treatment is a matter of controversy.
盲肠扭转是一种导致肠梗阻的肠道旋转异常。诊断困难，若延误诊断，结果可能是肠缺血、穿孔、败血症甚至死亡。仅通过体格检查和实验室检查结果，往往无法确定盲肠是否存在缺血或坏疽。尽管造影检查并非总能确诊，但可能会有所帮助；然而，明确诊断和治疗通常需要剖腹手术。如果发现盲肠存在血管受损情况，右半结肠切除术是首选治疗方法。在不存在缺血的情况下，有人推荐采用减压性管状盲肠造口术、单纯扭转复位术和盲肠固定术，但最佳治疗方法仍存在争议。
