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 |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Abdominal pain animal diseases R895-920 Infarction Case Report digestive system Acute abdomen Multidetector computed tomography Cecum Medical physics. Medical radiology. Nuclear medicine medicine Radiology Nuclear Medicine and imaging Antrum business.industry Diagnostic X-ray Stomach Gastric outlet obstruction medicine.disease digestive system diseases Surgery medicine.anatomical_structure Intestinal obstruction Intestinal volvulus Cecal bascule medicine.symptom business |
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 |
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