盲腸軸捻転症の1例

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  • A CASE OF VOLVULUS OF THE CECUM

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A 66-year-old man was seen at the hospital because of abdominal pain and vomiting. On abdominal findings, distention localized from the upper abdomen to median subumbilical part was confirmed, and peritoneal signs were present. Abdominal simple x-ray examination revealed dilated colonic gas where coincided to the distended portion and a small quantity of gas in the small intestine continued from the right side and upper portion of the colonic gas. So, an emergency operation was performed with a diagnosis of strangulated ileus of the right side colon, especially under a strong suspicion of volvulus of the cecum. Upon laparotomy, the ileocecal region was twisted clockwise by 180 degree, and a dilatation and hemorrhagic necrosis extended from the ileal end to ascending colon were seen. A right hemicolectomy was performed.<br> This disease is relatively uncommon and often presents difficulty in preoperative diagnosis. If strangulated ileus is suspected, we must keep the possibility of the disease in mind and carefully consider abdominal simple x-ray films. This paper presents this case of cecal volvulus, with some bibliographical comments.

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