Caecal volvulus

Habre, J.; Sautot-Vial, Nicolas; Marcotte, Cécile; Benchimol, Daniel

doi:10.1016/j.amjsurg.2007.11.029

Cited by 51 publications

(79 citation statements)

References 3 publications

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Section: Discussionmentioning

confidence: 99%

“…7 However, previous abdominal surgery is thought to be important in the development of a volvulus, since postoperative adhesions may create an axis around which the caecum can rotate. 7 Our patient had a history of surgery for ruptured ovarian cysts. Other risk factors are late-term pregnancy, high-fibre intake, adynamic ileus, chronic constipation, distant colon obstruction, inflammation of the peritoneal cavity, pelvic tumours or cysts, heavy lifting, blows to the abdomen, psychiatric disorders, or abuse of laxatives.…”

Section: Discussionmentioning

confidence: 99%

“…11 Laboratory tests are neither sensitive nor specific for the diagnosis. 7 Abdominal radiography may allow a diagnosis if three typical signs are present: (i) caecum dilatation; (ii) a single air-fluid level in the right lower quadrant; and (iii) absence of gas in the colon. However, up to 30% of patients do not show these radiographic features.…”

Section: Discussionmentioning

confidence: 99%

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Is laparotomy the unavoidable step to diagnose caecal volvulus?

Pulvirenti

Palmieri

Toro

et al. 2010

annals

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Caecal volvulus is the axial twist of the caecum, ascending colon and terminal ileum around the mesenteric pedicle. This infrequently encountered clinical entity is responsible for 1–1.5% of all intestinal obstruction with a mortality of 10–40% depending on the presence of colon viability or intestinal gangrene. Many factors have been referred as correlated to caecal volvulus development, mainly anatomical predisposition and previous abdominal operations. Pre-operative diagnosis plays an important role in the management of such patients. Unfortunately, clinical signs, symptoms and laboratory tests are never specific enough to lead to a prompt diagnosis. Abdominal radiography and computed tomography may allow a diagnosis if typical signs are present. However, up to 30% of patients do not show these radiographic peculiarities, making the diagnosis difficult or impossible. Moreover, the low incidence of this disease is often responsible of a wrong or imprecise diagnosis, especially for radiologists who work with low volume of patients. We report a case of a patient with caecal volvulus, in which laparotomy was unavoidable to reach a diagnosis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Is laparotomy the unavoidable step to diagnose caecal volvulus?

Pulvirenti

Palmieri

Toro

et al. 2010

annals

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“…Management of CV requires surgical intervention because endoscopic exsufflation is highly unpredictable [13].…”

Section: Cecal Volvulusmentioning

confidence: 99%

Diagnosis of colonic volvulus: findings on multidetector CT with three-dimensional reconstructions

Vandendries

Jullès²,

Boulay-Coletta³

et al. 2010

BJR

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ABSTRACT. Large bowel volvulus is a rare condition that can occur in patients who present with acute abdominal pain. Radiologists should be able to recognise its appearance on multidetector CT (MDCT) images so that the correct diagnosis can be made and catastrophic consequences can be avoided. In this article, we discuss and illustrate the MDCT and three-dimensional appearance of the various forms of large bowel volvulus. As MDCT allows the precise diagnosis of topography, mechanism and severity, this technique can provide an accurate assessment of large bowel volvulus.

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“…Clinical presentation of volvulus cases is very diverse and is characterized by intermittent episodes of abdominal pain to unbearable pain leading to medical emergencies [3,4]. Owing to its rare occurrence, it is difficult to diagnose.…”

Section: Introductionmentioning

confidence: 99%