Winkler R, Koch G
Zentralbl Chir. 1977;102(14):877-82.
Construction and function of the colon leads to dysfunction of the coecal region as a result of obstruction of the distal part of the colon. Painful coecal distension, ischaemic inflammatory bowel-wall disturbancy, perforation, or secondary appendicitis are the most frequent complications. Because of these complications, the real origin of the illness is often micjudged. In diagnosing appendicitis in the aged patient, distal colonic stenosis should be considered and, if possible, excluded. 6 cases of coecal complications (6,3%) in 96 patients with distal colonic cancer were observed.
结肠的结构和功能导致结肠远端梗阻，进而引起盲肠区域功能障碍。疼痛性盲肠扩张、缺血性肠壁炎症紊乱、穿孔或继发性阑尾炎是最常见的并发症。由于这些并发症，疾病的真正病因常常被误诊。在诊断老年患者的阑尾炎时，应考虑并尽可能排除远端结肠狭窄。在96例远端结肠癌患者中观察到6例盲肠并发症（6.3%）。
