| Cecal volvulus: report of a case and review of Japanese literature. | |
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MedLine Citation:
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PMID: 19469008 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Toshio Katoh; Tsunehiko Shigemori; Ryo Fukaya; Hiroshi Suzuki |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: World journal of gastroenterology : WJG Volume: 15 ISSN: 1007-9327 ISO Abbreviation: World J. Gastroenterol. Publication Date: 2009 May |
Date Detail:
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Created Date: 2009-05-26 Completed Date: 2009-07-13 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 100883448 Medline TA: World J Gastroenterol Country: China |
Other Details:
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Languages: eng Pagination: 2547-9 Citation Subset: IM |
Affiliation:
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Division of Surgery, Toyama Hospital, Tsu-City, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Cecum / pathology*, radiography, surgery Female Humans Intestinal Volvulus / diagnosis*, pathology*, radiography, surgery Japan |
| Comments/Corrections | |
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