Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2012
Cecal volvulus associated with intestinal malrotation presenting as postoperative intestinal obstruction.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Arulmolichelvan Arunandhichelavan, Sivaraman Arjun, Muthukrishnan Ashok
Аннотация
OBJECTIVE: To report a case of intestinal malrotation predisposing to cecal volvulus following nonabdominal surgery in an adult.
PRESENTATION AND INTERVENTION: A 23-year-old male with known anorectal malformation developed a postoperative intestinal obstruction following percutaneous nephrolithotomy for left renal calculus. Computed tomography of the abdomen revealed a grossly dilated cecum (9 cm) with ileocecal junction on the left side and small bowel loops on the right side of the abdomen. The patient underwent emergency exploratory laparotomy and retroperitonealization cecopexy. Bowel functions were normal at the follow-ups.
CONCLUSION: This case highlights the importance of suspecting cecal volvulus even following nonabdominal surgery in the presence of predisposing factors.
PRESENTATION AND INTERVENTION: A 23-year-old male with known anorectal malformation developed a postoperative intestinal obstruction following percutaneous nephrolithotomy for left renal calculus. Computed tomography of the abdomen revealed a grossly dilated cecum (9 cm) with ileocecal junction on the left side and small bowel loops on the right side of the abdomen. The patient underwent emergency exploratory laparotomy and retroperitonealization cecopexy. Bowel functions were normal at the follow-ups.
CONCLUSION: This case highlights the importance of suspecting cecal volvulus even following nonabdominal surgery in the presence of predisposing factors.