盲腸軸捻転の1例-自験例と本邦報告例の検討-

概要

論文の詳細を見る
We describe a patient with volvulus of the cecum, together with a discussion of 46 cases which have previously been assessed in Japan. Our patient was a 61-year-old man in whom the disease was first manifested as nausea and abdominal pain. Plain roentgenography of the abdomen showed that the large intestine was markedly dilated with gas in the left epigastric region. Barium enema revealed complete block midway in the transverse colon. On the basis of a preoperative diagnosis of cancer of the transverse colon or volvulus of the transverse colon, emergency surgery was undertaken. Laparotomy revealed volvulus of the cecum with a right-handed 540° twist, suggesting mobile cecum alone and absence of mesenterium commune. There was no evidence of necrosis of the intestine. Surgery involved detrusion, decompression and cecopexy. The postoperative course was satisfactory, and so far there has been no relapse. In most cases of this condition, it is difficult to make a preoperative diagnosis, despite the fact that this condition is a very characteristic one. In the cases reported in the Japanese literature, the rate of correct diagnosis of this disease was only 20%. As for the treatment of patients without intestinal necrosis, satisfactory results are considered to be obtained with detrusion and cecopexy, whereas for patients with necrosis, particularly elderly patients or those with complications, the mortality is still high, suggesting the importance of correct early diagnosis and treatment.
日本大腸肛門病学会の論文

盲腸軸捻転の1例-自験例と本邦報告例の検討-

スポンサーリンク

概要

著者

関連論文

スポンサーリンク