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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12001/22211

 
Title :Cecal volvulus in an elderly patient : A case report
Authors :Teruya, Tsuyoshi
Toritsuka, Daisuke
Iha, Kohji
Nishiki, Takehiro
Hanashiro, Kiyotoshi
Azuma, Yasuharu
Takushi, Yasukatsu
Shimabukuro, Nobuhiro
Ota, Morihito
Higa, Junko
Gakiya, Akira
Higa, Kuniki
Nakachi, Atsushi
Authors affiliation :Department of Surgery, Tomishiro Central Hospital
Issue Date :28-Oct-2016
Publisher :琉球医学会
Type Local :雑誌掲載論文
Type (NII) :Journal Article
ISSN :1346-888X
Abstract :An 85-year-old man who had been bedridden for a long time due to pain in the limbs and paralysis caused by lumbar disc herniation was admitted to our department for severe abdominal pain and vomiting. He was diagnosed with an intestinal obstruction based on the findings of plain abdominal radiography and abdominal computed tomography, which revealed marked dilatation of the colon. An emergency laparotomy was performed subsequent to the diagnosis of ileus secondary to the obstruction by suspected colon volvulus. Intraoperatively, the moved cecum was found to be located in the left abdomen; it was twisted 270° counterclockwise around the mesentery with the terminal ileum and was necrotic. We diagnosed cecal volvulus and performed ileocecal resection. In comparison with volvulus of the sigmoid colon, cecal volvulus is a very rare clinical entity and is difficult to diagnose preoperatively. In treating patients with abdominal symptoms similar to those of our patient, it is advisable to bear the possibility of cecal volvulus in mind.
Rights :琉球医学会
URI :http://hdl.handle.net/20.500.12001/22211
Citation :琉球医学会誌 = Ryukyu Medical Journal Vol.35 no.1-4 p.51 -56
Appears in Collections:Ryukyu Medical Journal

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