Caecal volvulus and jejunostomy: challenging diagnostic

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• dc.contributor.author Morera-Grau, Álex
• dc.contributor.author Membrilla Fernández, Estela
• dc.contributor.author González Castillo, Ana María
• dc.contributor.author Pelegrina Manzano, Amalia
• dc.contributor.author Guerrero-Ortiz, M. A.
• dc.contributor.author Téllez-Marquès, C.
• dc.contributor.author Pons Fragero, María José
• dc.contributor.author Guzmán-Ahumada, J.
• dc.contributor.author Pera Roman, Miguel
• dc.contributor.author Sancho Insenser, Juan
• dc.date.accessioned 2021-11-04T07:36:57Z
• dc.date.available 2021-11-04T07:36:57Z
• dc.date.issued 2021
• dc.description.abstract Caecal volvulus represent the 20-40% of colonic volvulus, being the second most frequent localization. It causes intestinal occlusion symptomatology (nausea, vomiting, abdominal distension). We present a case of 45-year-old women with feeding jejunostomy tube due to connatal anoxia. She arrives at A&E after 12 h of vomits and abdominal pain. The CT scan shows a small intestine dilation that suggested a small intestine volvulus. A laparotomy is performed showing a caecal volvulus, so ileo-cequectomy with primary anastomosis is performed. After several complications, she was discharged after 60 days of hospital stay. Caecal volvulus can be challenging to diagnose by clinic, because it can be hardly differenced from other intestinal occlusion causes. CT scan can be useful to reach the diagnostic and see signs of tissue suffering. In contrast with sigma volvulus, endoscopic treatment has not shown any benefit to solve it.
• dc.format.mimetype application/pdf
• dc.identifier.citation Morera-Grau A, Membrilla-Fernández E, González-Castillo AM, Pelegrina-Manzano A, Guerrero-Ortiz MA, Téllez-Marquès C, Pons-Fraguero MJ, Guzmán-Ahumada J, Pera-Román M, Sancho-Insenser JJ. Caecal volvulus and jejunostomy: challenging diagnostic. J Surg Case Rep. 2021;2021(4):rjab148. DOI: 10.1093/jscr/rjab148
• dc.identifier.doi http://dx.doi.org/10.1093/jscr/rjab148
• dc.identifier.issn 2042-8812
• dc.identifier.uri http://hdl.handle.net/10230/48895
• dc.language.iso eng
• dc.publisher Oxford University Press
• dc.relation.ispartof J Surg Case Rep. 2021;2021(4):rjab148
• dc.rights © The Author(s) 2021. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by-nc/4.0/
• dc.subject.keyword Bowel obstruction
• dc.subject.keyword Cecum
• dc.subject.keyword Colon
• dc.subject.keyword Volvulus
• dc.title Caecal volvulus and jejunostomy: challenging diagnostic
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion