Cecal volvulus： Report of a case and review of Japanese literature

A 78-year-old woman presented with fever, severe abdominal pain, and distension. She had been institutionalized for depression and senile dementia. Laboratory examinations disclosed a leucocytosis （WBC： 12 500/μL） and elevated levels of serum C-reactive protein （2.8 mEq/L）. Diagnosis of acute cecal...

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Bibliographic Details
Published in:World journal of gastroenterology : WJG 2009-05, Vol.15 (20), p.2547-2549
Main Authors: Katoh, Toshio, Shigemori, Tsunehiko, Fukaya, Ryo, Suzuki, Hiroshi
Format: Article
Language:English
Subjects:
Aged
Case Report
Cecum - diagnostic imaging
Cecum - pathology
Cecum - surgery
Female
Humans
Intestinal Volvulus - diagnosis
Intestinal Volvulus - diagnostic imaging
Intestinal Volvulus - pathology
Intestinal Volvulus - surgery
Japan
Radiography
实验室检查
病例报告
老年痴呆症
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Summary:A 78-year-old woman presented with fever, severe abdominal pain, and distension. She had been institutionalized for depression and senile dementia. Laboratory examinations disclosed a leucocytosis （WBC： 12 500/μL） and elevated levels of serum C-reactive protein （2.8 mEq/L）. Diagnosis of acute cecal volvulus was made from a ＂coffee bean sign＂ on an abdominal computed tomography and a ＂beak sign＂ on a gastrographin enema. An emergent laparotomy confirmed the diagnosis and an ileo-colectomy with primary anastomosis was carried out. The patient recovered after intensive respiratory care and fluid therapy, and then returned to her former institution. A review of Japanese literature disclosed that： （1） a marked increase of aged patients with mental disability presenting with cecal volvulus, （2） adoption of ileo-colectomy as the standard surgical procedure, and （3） improved survival of the patients, were observed in the last decade.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.15.2547