Open AccessColonic tumour precipitating caecal volvulus within a diaphragmatic hernia
Author(s) -
Ricky H. Bhogal,
Kambiz Maleki,
Rajan Patel
Publication year - 2013
Publication title -
world journal of gastrointestinal surgery
Language(s) - English
Resource type - Journals
ISSN - 1948-9366
DOI - 10.4240/wjgs.v5.i9.256
Subject(s) - medicine , surgery , abdomen , diaphragmatic hernia , diaphragmatic breathing , constipation , hernia , chest radiograph , abdominal pain , quadrant (abdomen) , volvulus , radiography , pathology , alternative medicine
An 85-year-old woman presented with sudden onset of generalised abdominal pain and absolute constipation for 4 d. On examination she had a distended abdomen. Plain abdominal radiograph revealed a gas filled viscous within the left upper quadrant. Subsequent computed tomography suggested caecal volvulus herniated through a left diaphragmatic hernia. The patient underwent reduction of the internal hernia, right hemicolectomy and mesh repair of the diaphragmatic hernia. Postoperative recovery was uneventful. Histology revealed a Dukes' A colonic cancer within the caecum. Herniation of caecal volvulus through a diaphragmatic hernia is a very rare condition and may have been precipitated by the colonic tumour.