Pediatric Cecal Volvulus: A Case Report A B S T R A C T. Introduction: Cecal volvulus (CV) is rare cause of intestinal obstruction especially in children. There is no established protocol for the treatment of CV due to its rarity. Case Presentation: We present a rare case of CV in a 9-year-old girl.
2019-10-31
MadibaTE, Thomson SR. The management of cecal volvulus. Dis Colon Rectum. 2002 Feb;45(2):264-7. Baldarelli M, De Sanctis A, Sarnari J, Nisi M, Rimini M, Guerrieri M. Laparoscopic cecopexy for cecalvolvulus after laparoscopy. Case report and a Treatment for Sigmoid Volvulus and Cecal Volvulus The treatment for sigmoid volvulus and cecal volvulus involves a procedure called colonoscopy. Colonoscopy procedure can be defined as a medical procedure where the colon is excavated through the means of a medical equipment.
Before the early 19th century, expectant management was widely practiced; as experience accrued, surgical treatment became accepted. Detorsion and cecopexy were commonly performed, as was placement of cecostomy tubes. Once the diagnosis of volvulus is made, the goal of treatment is to relieve the twisting of the intestine and prevent future episodes of twisting. The process of untwisting the intestines is called "reducing" the volvulus. In order to accomplish this, a flexible sigmoidoscopy is performed first. Differentiating a cecal bascule is difficult, as nearly 10-15% of cecal volvulus diagnoses turn out to be cecal bascules upon intraoperative findings. 24 Hypermobility of the cecum frequency of Se hela listan på emedicine.medscape.com Initial treatment for sigmoid volvulus may be with sigmoidoscopy or a barium enema.
Differential Diagnosis; Diagnosis; Complications; Management; Sigmoid Volvulus; Cecal Volvulus; References. 4 Acute Emergency Treatment. Wounds and
If the cecum is still healthy, it may be returned and sutured in place. However, conservative treatment in both cases is associated with high rates of recurrence.
Conclusions: Cecal bascule is a rare clinical entity, which is mostly encountered in patients with peritoneal adhesions, mobile cecum, bowel dysfunction, and cecal displacement. In patients with recurrent or persistent abdominal pain and distension, cecal bascule should be considered. The majority of these patients require surgical management.
12 Apr 2018 What is it?
The clinical manifestations, diagnosis, and management of cecal volvulus are discussed here. Ileocolic vascular curvature and ectopic cecal location were the only features independently and significantly associated with cecal volvulus in multivariable regression (odds ratio 178, p = 0.014
Diagnosis and treatment of caecal volvulus. Postgrad Med J. 2005 Dec;81(962):772-6. MadibaTE, Thomson SR. The management of cecal volvulus. Dis Colon Rectum.
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Mesenterico-axial volvulus (cecal bascule) involves the cecum "folding" in an axis at right angles to the mesentery. Elsharif M, Basu I, Phillips D. A case of triple volvulus. Ann R Coll Surg Engl. 2012 Mar. 94 (2):e62-4.
. DRAPANAS T, STEWART JD. Acute sigmoid volvulus. Concepts in surgical treatment.
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Engelsk titel: Resection the treatment of choice in cecal volvulus Författare: Tejler G Språk: Swe Antal referenser: 21 Dokumenttyp: Artikel UI-nummer: 87121215
Wounds and Dessutom, för att undvika Volvulus på blindtarmsoperation, vilket är skadligt för möss, Appendectomy for Treatment of Uncomplicated Acute Appendicitis: The Generation of colonic IgA-secreting cells in the caecal patch. It is nearly always fatal unless, like short bowel syndrome patients, treated with parenteral Cecal volvulus is slightly less common than sigmoid volvulus and is Vascularization of the continuous human colonic cancer cell line LS 174 T Treatment of cerebrospinal fluid shunt infections in children using systemic and Production in 1998.Describes the use of the stapler at the resection of the colon.Manus/Fakta: P-O Nyström GE-kliniken Mag-/Tarmenheten, Den vanligaste platsen för volvulus att förekomma hos vuxna är sigmoid kolon och cecum. Magen kan också påverkas. Hos barn är tunntarmen vanligtvis Volvulus of the Sigmoid Colon.
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evaluation and treatment of cecal and sigmoid volvulus and aCPo. Clinical Practice Guidelines for Colon Volvulus and Acute Colonic Pseudo-Obstruction Jon D. Vogel, M.D. • Daniel L. Feingold, M.D. • David B. Stewart, M.D. Jacquelyn S. Turner, M.D. • Marylise Boutros, M.D. • Jonathan Chun, M.D. scott R. steele, m.D.
22–24 Given the physiological advantages of laparoscopy over open surgery and the continued rapid expansion of laparoscopic gastrointestinal surgery, laparoscopic right colectomy and caecopexy will probably become the mainstay of treatment in the near future. 2018-09-29 · Treatment options Cecopexy. The procedure for treating cecal volvulus is called a cecopexy. Your surgeon will move the cecum back to its Intestinal resection surgery. If the cecum is severely damaged from being twisted, your doctor may recommend intestinal Colonoscopic reduction. If you’re not Se hela listan på verywellhealth.com confirmation and initial management of sigmoid volvulus, however the utility of endoscopic therapy in acute caecal volvulus diagnosis and treatment is generally considered limited,2 as the success rate of colonoscopic reduction of caecal volvulus has been about 30%.7 19–21 Given the modest success rate, the potential for colonic perforation, and volvulus can be managed initially with decompressive endoscopy. The same therapeutic strategy in cecal volvulus has high failure rates with elevated risk for colonic perforation, prompting emergency surgical treatment to prevent bowel ischemia and necrosis [3,10,11].
30 May 2010 In one study, the patients with cecal volvulus had their symptoms for a median of two days (range 1–12) before hospital admission and treatment.
Pathophysiology Associated risk factors for colonic volvulus are advanced age, chronic constipation, and diets rich in high fiber. The use of laparoscopy in the treatment of cecal volvulus is mentioned in the literature mainly as case reports and no comparative studies exist [2,19]. The retrospective nature of this study and the relatively small number of patients with this rare condition are obvious limitations of this study. Cecal volvulus is an uncommon cause of colonic obstruction. First-line treatment for cecal volvulus is surgery, as nonoperative management is rarely achievable.
There is no established protocol for the treatment of CV due to its rarity. Case Presentation: We present a rare case of CV in a 9-year-old girl. Cecal volvulus (CV) is an uncommon cause of Cecal volvulus is a rare cause of acute abdominal pain and intestinal obstruction, which if left untreated can lead to sepsis and death.