Clinics in diagnostic imaging (171). Caecal volvulus with underlying intestinal malrotation
Singapore medical journal
; : 598-602, 2016.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-304105
Biblioteca responsável:
WPRO
ABSTRACT
A 46-year-old Chinese woman with a history of cholecystectomy and appendicectomy presented to the emergency department with symptoms of intestinal obstruction. Physical examination revealed central abdominal tenderness but no clinical features of peritonism. Plain radiography of the abdomen revealed a grossly distended large bowel loop with the long axis extending from the right lower abdomen toward the epigastrium, and an intraluminal air-fluid level. These findings were suspicious for an acute caecal volvulus, which was confirmed on subsequent contrast-enhanced computed tomography (CT) of the abdomen and pelvis. CT demonstrated an abnormal positional relationship between the superior mesenteric vein and artery, indicative of an underlying intestinal malrotation. This case highlights the utility of preoperative imaging in establishing the diagnosis of an uncommon cause of bowel obstruction. It also shows the importance of recognising the characteristic imaging features early, so as to ensure appropriate and expedient management, thus reducing patient morbidity arising from complications.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Patologia
/
Apendicectomia
/
Cirurgia Geral
/
Diagnóstico por Imagem
/
Colecistectomia
/
Tomografia Computadorizada por Raios X
/
Dor Abdominal
/
China
/
Meios de Contraste
/
Volvo Intestinal
Tipo de estudo:
Estudo diagnóstico
Limite:
Feminino
/
Humanos
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Singapore medical journal
Ano de publicação:
2016
Tipo de documento:
Artigo