Lee Y J, Lee Y A, Liu T J, Chang T H
Department of Surgery, Army 802 General Hospital, Kaohsiung, Taiwan, R.O.C.
Zhonghua Yi Xue Za Zhi (Taipei). 1996 May;57(5):380-3.
Mobile cecum syndrome is characterized by chronic right lower quadrant pain with the evidence of neither appendicitis nor other pathological findings at operation. Two cases of mobile cecum syndrome are reported; both had intermittent right lower quadrant cramping pain for months. One had received appendectomy because of chronic right lower quadrant pain at another hospital about nine months before admission here. The symptoms did not improve postoperatively, and the patient underwent laparotomy under impression of partial intestinal obstruction. The other patient underwent laparotomy under impression of chronic appendicitis. At surgery, both were found to have cecum and ascending colon were not attached to the posterior parietal wall, and cecopexy was performed. They have now been symptom free for one year. Cecopexy appears therefore to be an effective method of treatment of mobile cecum syndrome.
移动盲肠综合征的特点是慢性右下象限疼痛，手术时既无阑尾炎证据，也无其他病理发现。本文报告两例移动盲肠综合征；两例均有右下象限间歇性绞痛数月。其中一例在入院前约九个月因慢性右下象限疼痛在另一家医院接受了阑尾切除术。术后症状未改善，患者因部分肠梗阻的印象接受了剖腹手术。另一例患者因慢性阑尾炎的印象接受了剖腹手术。手术时发现两例患者的盲肠和升结肠均未附着于后腹壁，遂行盲肠固定术。他们现在已经无症状一年了。因此，盲肠固定术似乎是治疗移动盲肠综合征的一种有效方法。
