Percutaneous decompression of cecal volvulus

Patel, Deepa M; Ansari, Ejajahmed; Berman,

doi:10.2214/ajr.148.4.747

Cited by 3 publications

(1 citation statement)

References 2 publications

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“…Colonoscopic decompression has been proposed as an alternative to surgery but carries some risk and can only be used if the diagnosis is suspected upon presentation. There exist isolated reports of ileostomy 16 and percutaneous decompression in high‐risk patients 17 , 18 . In cases with gangrenous bowel, right hemicolectomy is generally recommended 19 …”

Section: Discussionmentioning

confidence: 99%

Cecal Bascule: An Overlooked Diagnosis in the Elderly

Pousada¹

1992

J American Geriatrics Society

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This elderly male with a long history of alcohol abuse presented with an acute pleural trauma and hemopneumothorax, which may have served as the precipitating medical illness for cecal volvulus. He subsequently developed bacterial peritonitis as a complication of his bowel obstruction. It is probable that his pleural cavity was seeded hematogenously via a bacteremia from his peritonitis, thus accounting for the empyema with species typical of bowel flora. Cecal bascule is a type of cecal volvulus that causes intestinal obstruction. Diagnosis is difficult, but a delay in recognition may result in intestinal ischemia, perforation, sepsis, and even death. Cecal ischemia or gangrene cannot always be determined based on physical examination or laboratory findings. Plain films of the abdomen may be helpful, and barium enema has been advocated by some authors. However, laparotomy is often necessary for definitive diagnosis and therapy. While cecal volvulus has not been reported to occur frequently in the elderly, the relatively common occurrence of anatomic predisposition in addition to the widespread use of respirators and the increasing age and number of medical illnesses of our population make it possible that cecal volvulus will be seen with increasing frequency in the future.

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Section: Discussionmentioning

confidence: 99%

Cecal Bascule: An Overlooked Diagnosis in the Elderly

Pousada¹

1992

J American Geriatrics Society

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Erkrankungen des Dickdarms

Persigehl

Feuerbach²

Handbuch Diagnostische Radiologie

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Controlled transperitoneal percutaneous cecostomy as a therapeutic alternative to the endoscopic decompression for Ogilvie's syndrome

Chevallier¹,

Marcy²,

Francois³

et al. 2002

Am J Gastroenterology

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Acute colonic pseudo-obstruction, the so-called Ogilvie's syndrome, results in massive colonic dilation without mechanical obstruction. In most cases, a conservative treatment with or without endoscopic decompression is sufficient. In rare cases of relapses or failures, a cecostomy has to be performed. A surgical cecostomy is associated with high morbidity and mortality. However, a percutaneous cecostomy could be an interesting alternative treatment. We report the case of a 67-yr-old male with colonic pseudoobstruction for which both the conservative and the endoscopic treatments were unsuccessful. A percutaneous cecostomy was performed, and for the first time in this indication, a transperitoneal access was used with the help of nylon T-fasteners.

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Percutaneous decompression of cecal volvulus

Cited by 3 publications

References 2 publications

Cecal Bascule: An Overlooked Diagnosis in the Elderly

Cecal Bascule: An Overlooked Diagnosis in the Elderly

Erkrankungen des Dickdarms

Controlled transperitoneal percutaneous cecostomy as a therapeutic alternative to the endoscopic decompression for Ogilvie's syndrome

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