| Is laparotomy the unavoidable step to diagnose caecal volvulus? | |
| | |
MedLine Citation:
|
PMID: 20529467 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Caecal volvulus is the axial twist of the caecum, ascending colon and terminal ileum around the mesenteric pedicle. This infrequently encountered clinical entity is responsible for 1-1.5% of all intestinal obstruction with a mortality of 10-40% depending on the presence of colon viability or intestinal gangrene. Many factors have been referred as correlated to caecal volvulus development, mainly anatomical predisposition and previous abdominal operations. Pre-operative diagnosis plays an important role in the management of such patients. Unfortunately, clinical signs, symptoms and laboratory tests are never specific enough to lead to a prompt diagnosis. Abdominal radiography and computed tomography may allow a diagnosis if typical signs are present. However, up to 30% of patients do not show these radiographic peculiarities, making the diagnosis difficult or impossible. Moreover, the low incidence of this disease is often responsible of a wrong or imprecise diagnosis, especially for radiologists who work with low volume of patients. We report a case of a patient with caecal volvulus, in which laparotomy was unavoidable to reach a diagnosis. |
| | |
Authors:
|
Elia Pulvirenti; Laura Palmieri; Adriana Toro; Isidoro Di Carlo |
Related Documents
:
|
18689187 - Small bowel intussusception secondary to inflammatory fibroid polyp of the ileum: repor... 1417617 - Intestinal adenocarcinoma of the ileocecal junction in a chicken. 1192057 - Recurrent sigmoid volvulus in young people: a missed diagnosis. 8334057 - Histopathology: its role in the diagnosis of a child with intussusception. 15925997 - Assessment of neurolymphomatosis by brachial plexus biopsy and pet/ct. report of a case. 773617 - Tumors of the optic nerve. |
Publication Detail:
|
Type: Case Reports; Journal Article Date: 2010-06-07 |
Journal Detail:
|
Title: Annals of the Royal College of Surgeons of England Volume: 92 ISSN: 1478-7083 ISO Abbreviation: Ann R Coll Surg Engl Publication Date: 2010 Jul |
Date Detail:
|
Created Date: 2010-07-14 Completed Date: 2010-08-09 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7506860 Medline TA: Ann R Coll Surg Engl Country: England |
Other Details:
|
Languages: eng Pagination: W27-9 Citation Subset: IM |
Affiliation:
|
Department of Surgical Sciences, Organ Transplantation and Advanced Technologies, University of Catania, Cannizzaro Hospital, Catania, Italy. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Cecal Diseases / diagnosis*, radiography, surgery Female Humans Intestinal Volvulus / diagnosis*, radiography, surgery Laparotomy* Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Acute scrotal pain with a twist.
Next Document: The Quality and Outcomes Framework: triumph of technical rationality, challenge for individual care?