Cecal volvulus caused by a large uterine leiomyoma.

Autor:	de Vries HS; Department of Surgery, Gelderse Vallei Hospital, Ede, The Netherlands. Electronic address: aaheelkvriesh@zgv.nl., Samlal RK; Department of Gyneacology, Gelderse Vallei Hospital, Ede, The Netherlands., Maresch BJ; Department of Radiology, Gelderse Vallei Hospital, Ede, The Netherlands., Hoven-Gondrie ML; Department of Surgery, Gelderse Vallei Hospital, Ede, The Netherlands.
Jazyk:	angličtina
Zdroj:	International journal of surgery case reports [Int J Surg Case Rep] 2015; Vol. 10, pp. 97-9. Date of Electronic Publication: 2015 Mar 13.
DOI:	10.1016/j.ijscr.2015.03.021
Abstrakt:	Introduction: Cecal volvulus is a relatively uncommon encountered clinical condition. Presentation of Case: A 48-year-old patient known with a large uterine leiomyoma, presented with progressive abdominal pain since one week. An abdominal computed tomography scan revealed a very large leiomyoma of the uterus, severely distended loops of the small bowel with a caliber change and a suggested 'whirl sign' of the mesenteric vessels. A laparotomy was performed, showing a very large uterus as well as torsion of the mesentery of the cecum with a sharp demarcated area of necrosis of the right hemicolon. Discussion: Cecal volvulus due to a large uterine mass is a rare encountered clinical entity. The suggested mechanism might be the same mechanism causing cecal volvulus during pregnancy; the enlarged uterus raisingout the mobile cecum out of the pelvis. Obstruction may occur from kinking of the colon at a fixed point. Conclusion: This case demonstrates that uterine leiomyoma can be a cause of a cecal volvulus, leading to severe intestinal strangulation. (Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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