Reduction of cecal volvulus by multiple barium enemas

Schwab, Frederick J.; Glick, Seth N.; Teplick, Steven K.

doi:10.1007/bf01893099

Cited by 6 publications

(3 citation statements)

References 16 publications

(18 reference statements)

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“…Non-operative reduction of caecal volvulus (eg, by colonoscopy or contrast enema) is rarely successful (<5 %) and could cause perforation. In addition, colonic necrosis may be missed in 20%–25% of patients who undergo non-operative reduction, and such patients may develop colonic perforation 13 19 26 29 30. Surgical approaches to caecal volvulus vary depending on intraoperative findings and patient stability, typically right hemicolectomy with or without ileostomy.…”

Section: Discussionmentioning

confidence: 99%

Very rare case of synchronous volvulus of the sigmoid colon and caecum causing large-bowel obstruction

Roy¹,

Tay

Kozman

2019

BMJ Case Rep

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Large-bowel obstruction caused by volvulus is potentially life threatening if not managed promptly. Sigmoid colon is the most common site of volvulus followed by caecum. Synchronous double colonic volvulus is an exceedingly rare entity, with only five cases published previously. We present the case of a 77-year-old man with a synchronous sigmoid and caecal volvulus. He underwent total colectomy with ileostomy formation with a view to reverse the ileostomy at a later date.

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Section: Discussionmentioning

confidence: 99%

Very rare case of synchronous volvulus of the sigmoid colon and caecum causing large-bowel obstruction

Roy¹,

Tay

Kozman

2019

BMJ Case Rep

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“…Some authors feel barium enema should be avoided in cecal volvulus, as it is of little therapeutic value and is potentially dangerous in view of the 25% incidence of gangrenous bowel 4 . However, others have found barium enema to be diagnostic in a significant percentage of cases, 9 , 14 and some authors have reported the reduction of cecal volvulus by multiple barium enemas 15 . If barium enema is not used, sigmoidoscopy may be useful in order to rule out a distal obstructing lesion 1 …”

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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“…Surgery remains the treatment of choice [3]. Attempts at nonsurgical Because patIents wIth cecal volvulus are acutely Ill and management in poor-risk surgical candidates have had limited have a hIgh surgical mortality, treatment has been by means success [4,5]. We report successful use of anterior percuof a banum enema or colonoscopy [4,5].…”

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confidence: 99%