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Caecal Perforation in Large‐Bowel Obstruction 1
Author(s) -
Duraiappah Balasubramaniam,
Pheils Murray Theodore
Publication year - 1973
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1973.tb07325.x
Subject(s) - medicine , perforation , caecum , bowel obstruction , bowel perforation , surgery , gastroenterology , general surgery , complication , materials science , punching , metallurgy
Reports of two unusual cases of obstructive caecal perforation are presented, and the relevant literature is reviewed. It is suggested that the prime factor in obstructive caecal perforation is ischtemia. The importance of recognizing and treating impending perforation of the caecum in large‐bowel obstruction is emphasised. Caecostomy is recommended for small perforations, but resection is indicated if more extensive ischcemia is present.