Operative Management of Cecal Volvulus Herniating Through the Foramen of Winslow

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL

Clinical Management Issues Pub Date : 2022-04-29 DOI:10.7175/cmi.v16i1.1514

A. Yap, Jonathan Freise, B. Bolinger, A. Alkoraishi

引用次数: 0

Abstract

Cecal volvulus is a surgical emergency which is associated with the risk for bowel ischemia and perforation. Occasionally, volvulus can be caused by an internal hernia.We report the case of a 73-year-old woman with no prior surgical history who had abrupt onset abdominal pain, distension, bilious emesis, and obstipation. Computed tomographic imaging showed a twisted, dilated cecum within the lesser sac with the base of the volvulus at the foramen of Winslow and mass effect against a decompressed stomach. In the operating room, the patient underwent exploratory laparotomy, reduction of the cecal volvulus through the lesser sac, and right hemicolectomy with primary ileocolic anastomosis.Given the substantial morbidity and mortality risk if a closed loop obstruction is left untreated, it is of paramount importance to consider internal hernias as a potential cause to allow an early diagnosis and an urgent surgical treatment.

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盲肠扭转经Winslow孔疝的手术治疗

盲肠扭转是一种与肠缺血和穿孔风险相关的外科紧急情况。偶尔，肠扭转可能是由内疝引起的。我们报告了一例73岁的女性，既往无手术史，有突然发作的腹痛、腹胀、胆汁性呕吐和便秘。计算机断层成像显示，小盲肠内有一个扭曲、扩张的盲肠，肠扭转的底部位于温斯洛孔，肿块对减压的胃有影响。在手术室，患者接受了剖腹探查术，通过小盲肠缩小盲肠扭转，并进行了右半结肠切除术和一期回结肠吻合。考虑到如果不治疗闭环梗阻会带来巨大的发病率和死亡率风险，将内疝视为潜在原因以进行早期诊断和紧急手术治疗至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Management Issues MEDICINE, GENERAL & INTERNAL-

自引率

0.00%

发文量

审稿时长

13 weeks

期刊介绍： Clinical Management Issues is an open access, peer-reviewed journal published by SEEd Medical Publishers (online ISSN = 2283-3137). The aim of the published case reports is to expand medical knowledge, allowing a better explanation of the practical application of a clinical guideline, or including an up-to-date review of medical knowledge in that field, or helping doctors to make better decisions in a “grey area”, or explaining how to manage a disease with an integrated approach between different specialists involved. Clinical Management Issues also publishes unusual case reports (i.e. unusual side effects or adverse interactions involving medications, unexpected or unusual presentations of a disease, etc.), articles on clinical management of a disease, case series, editorials, and brief reports. Acceptance rate of submitted articles is about 90%. Content is subject to peer-review and is editorially independent. This journal provides immediate open access to all of its articles (both HTML and PDF versions). Authors are asked to state any professional and financial situations that might be perceived as causing a conflict of interest with respect to integrity of content. The Declaration of Financial Competing Interests, that should be filled, signed and sent to the Publisher, is downloadable here.