Intestinal Obstruction by Blind Vove Iess Riobamba Hospital 2014
Journal Title: Surgery & Case Studies: Open Access Journal - Year 2018, Vol 1, Issue 2
Abstract
Introduction: Cecal volvulus is the second most common volvulus among colonic volvulus, usually presenting as bowel obstruction. Case Presentation: A 65 year old female presented with abdominal pain, nausea, vomiting, abdominal distension and abscense of flatus and stool Erect Abdominal radiograph showed marked colonic distension with air-fluid levels. Urgent surgical treatment is decided. Conclusion: Cecal volvulus should always be considered as a possible cause of mechanical ileus. Radiographs and CT are invaluable in the diagnosis of this condition. Intestinal volvulus is produced by the twisting of a mobile segment of the colon around its mesenteric axis. The location, in order of frequency, is: 80% in sigma, 15% in blind and 5% in transverse colon [1]. The volvulus of the right colon is rarer. They do not present a defined geographical distribution, as in the sigmoid volvulus, which would indicate that the external factors that produce intestinal diseases do not have a higher incidence [2- 3]. The colon, from the embryological, anatomical, functional and surgical point of view, is divided into a right sector (right colon) and another left (left colon) whose limit is a line that passes over the transverse colon to the left of the artery medium colic [4-5]. The volvules located in the right sector are mainly due to a congenital malformation. Those located in the left colon, always correspond to the sigmoid and recognize as an etiological cause an abnormally mobile loop added to diseases that dilate and lengthen the sigma (dolicomegasigma) [6]. The volvules located in the transverse are due to the exaggeration of a normal situation (garland colon) and are exceptional. Various causes have been implicated in etiopathogenesis: anatomical (long and redundant), alimentary (diet rich in residues), pathological (chronic constipation, laxative abuse, psychiatric and central nervous system diseases in 40% of cases: dystrophies) , Parkinson’s disease, Alzheimer’s disease, cerebrovascular accidents, etc.) [7,8], sex (more common in women) and age (over 70 years). Cecal volvulus is more common in women with a mean age of 50-60 years, with a history of previous episodes and a clinical picture of small bowel obstruction and abdominal pain [9-10].
Authors and Affiliations
Diego Fabricio Erazo Mogrovejo, Sandra Gómez, Andrea Montoya
Keywords
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- EP ID EP635373
- DOI 10.32474/SCSOAJ.2018.01.000108
- Views 99
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