Cecal bascule after cardiac surgery: A case report

Autor:	Angela M Johnson, Soon Park, Francis T Lytle
Jazyk:	angličtina
Rok vydání:	2020
Předmět:	abdominal pain cecal bascule colon dilatation coronary artery bypass coronary artery disease intestinal volvulus Anesthesiology RD78.3-87.3 Diseases of the circulatory (Cardiovascular) system RC666-701
Zdroj:	Annals of Cardiac Anaesthesia, Vol 23, Iss 2, Pp 216-217 (2020)
Druh dokumentu:	article
ISSN:	0971-9784
DOI:	10.4103/aca.ACA_171_18
Popis:	Cecal bascule is a form of volvulus resulting from upward and anterior cecal folding, and accounts for 0.01% of adult large bowel obstructions. With a competent ileocecal valve, cecal bascule may progress to closed loop obstruction, ischemia, gangrene, or perforation. Failure to treat cecal bascule has a mortality of 50%. Nonoperative management includes nasogastric and colonoscopic decompression, with a 95% failure rate. The gold standard is right hemicolectomy with a near nonexistent recurrence rate. Severe gastrointestinal complications following cardiothoracic surgery may lead to increased morbidity, length of stay, and mortality. Here, we present the first reported case of cecal bascule following cardiac surgery.
Databáze:	Directory of Open Access Journals
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