Open AccessVólvulo de ciego con lesión de colon ascendente: reporte de un caso y alternativas de tratamiento
Author(s) -
Alejandra Avagnina
Publication year - 2021
Publication title -
acta gastroenteorológica latinoamericana/acta gastroenterológica latinoamericana
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.121
H-Index - 17
eISSN - 2469-1119
pISSN - 0300-9033
DOI - 10.52787/suyi2286
Subject(s) - medicine , ileus , volvulus , ascending colon , transverse colon , cecum , perforation , surgery , constipation , anastomosis , vomiting , nausea , gastroenterology , punching , materials science , metallurgy
Cecal volvulus is a rare disease responsible for 1% of the cases of intestinal occlusion, whose main etiology is due to a mobile cecum. A 73-year-old male patient with a history of constipation is presented. He had a clinical picture of abdominal pain and distention, nausea, vomiting, and absence of stool or gas expulsion. A Cecal volvulus with lesion in the ascending colon was found. The surgical technique most frequently performed by surgeons for cecal volvulus is right hemicolectomy with transverse ileus anastomosis, but if the volvulus caused intestinal necrosis and the patient is hemodynamically unstable, it is safer to perform intestinal resection and ileostomy. Ascending ileus anastomosis performed at a higher level of the ascending colon is a safe alternative for the restitution of intestinal transit in patients with cecal volvulus.