Document Detail

Cecal volvulus: report of a case and review of Japanese literature.
MedLine Citation:
PMID:  19469008     Owner:  NLM     Status:  MEDLINE    
A 78-year-old woman presented with fever, severe abdominal pain, and distension. She had been institutionalized for depression and senile dementia. Laboratory examinations disclosed a leucocytosis (WBC: 12,500/microL) and elevated levels of serum C-reactive protein (2.8 mEq/L). Diagnosis of acute cecal volvulus was made from a "coffee bean sign" on an abdominal computed tomography and a "beak sign" on a gastrographin enema. An emergent laparotomy confirmed the diagnosis and an ileo-colectomy with primary anastomosis was carried out. The patient recovered after intensive respiratory care and fluid therapy, and then returned to her former institution. A review of Japanese literature disclosed that: (1) a marked increase of aged patients with mental disability presenting with cecal volvulus, (2) adoption of ileo-colectomy as the standard surgical procedure, and (3) improved survival of the patients, were observed in the last decade.
Toshio Katoh; Tsunehiko Shigemori; Ryo Fukaya; Hiroshi Suzuki
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  15     ISSN:  2219-2840     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-26     Completed Date:  2009-07-13     Revised Date:  2014-05-20    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  2547-9     Citation Subset:  IM    
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MeSH Terms
Cecum / pathology*,  radiography,  surgery
Intestinal Volvulus / diagnosis*,  pathology*,  radiography,  surgery

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