Cecal bascule with secondary gastric outlet obstruction in addition to a large bowel closed obstruction: A case report

Autor: Carmen González-Carreró Sixto, Raul Pellon Daben, Sara Sánchez Bernal, Juan Crespo Del Pozo, Francisco Gonzalez Sanchez, Mercedes Acebo Garcia
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Radiology Case Reports, Vol 16, Iss 6, Pp 1469-1472 (2021)
Radiology Case Reports
ISSN: 1930-0433
Popis: We present a case of cecal bascule in a 60-year-old woman with abdominal pain and vomiting. Imaging tests revealed a cecal bascule causing mechanic obstruction of the stomach. Besides a small bowel dilatation was not seen, the distended cecum was extrinsically obstructing the antrum and therefore, the gastric outlet. Cecal bascule is a form of cecal volvulus without the axial twisted component. The cecum folds anterior or anteromedially on itself and, because of a valve mechanism, becomes distended. The pressure increases and it begins to compromise arterial blood flow so life-threatening complications, such as bowel ischemia and infarction can occur. Prompt diagnosis is therefore crucial and plain radiographs and computed tomography are the preferred imaging techniques for this purpose.
Databáze: OpenAIRE