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[Cecal volvulus].
J Chir (Paris) 2005 Jul-Aug; 142(4):220-4JC

Abstract

The cecum is the second most common site of colonic volvulus after the sigmoid. The mechanism is torsion or hyperflexion of the enlarged, poorly-fixed, and hypermobile cecum. It presents clinically as an acute bowel obstruction with strangulation. Diagnosis can be made by plain abdominal X-ray in more than half the cases on the basis of cecal distention (with a classical "teardrop" or "comma" appearance), proximal small bowel distention with air-fluid levels, and a gasless distal colon. Barium enema shows lack of filling of the cecum, often with a "beaked" termination of the column of contrast. CT images are pathognomonic when they reveal a cecal "vortex". After surgical reduction of the torsion, ileo-cecal resection is usually the best therapeutic alternative. Cecopexy may be aDDrouriate in older and debilitated Datients if there is no concomitant cecal necrosis.

Authors+Show Affiliations

Service Chirurgie Viscérale et Transplantation, CHU Dupuytren, Limoges.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

fre

PubMed ID

16335894

Citation

Abita, T, et al. "[Cecal Volvulus]." Journal De Chirurgie, vol. 142, no. 4, 2005, pp. 220-4.
Abita T, Lachachi F, Durand-Fontanier S, et al. [Cecal volvulus]. J Chir (Paris). 2005;142(4):220-4.
Abita, T., Lachachi, F., Durand-Fontanier, S., Maisonnette, F., Roudaut, P. Y., Valleix, D., & Descottes, B. (2005). [Cecal volvulus]. Journal De Chirurgie, 142(4), pp. 220-4.
Abita T, et al. [Cecal Volvulus]. J Chir (Paris). 2005;142(4):220-4. PubMed PMID: 16335894.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Cecal volvulus]. AU - Abita,T, AU - Lachachi,F, AU - Durand-Fontanier,S, AU - Maisonnette,F, AU - Roudaut,P Y, AU - Valleix,D, AU - Descottes,B, PY - 2005/12/13/pubmed PY - 2006/1/4/medline PY - 2005/12/13/entrez SP - 220 EP - 4 JF - Journal de chirurgie JO - J Chir (Paris) VL - 142 IS - 4 N2 - The cecum is the second most common site of colonic volvulus after the sigmoid. The mechanism is torsion or hyperflexion of the enlarged, poorly-fixed, and hypermobile cecum. It presents clinically as an acute bowel obstruction with strangulation. Diagnosis can be made by plain abdominal X-ray in more than half the cases on the basis of cecal distention (with a classical "teardrop" or "comma" appearance), proximal small bowel distention with air-fluid levels, and a gasless distal colon. Barium enema shows lack of filling of the cecum, often with a "beaked" termination of the column of contrast. CT images are pathognomonic when they reveal a cecal "vortex". After surgical reduction of the torsion, ileo-cecal resection is usually the best therapeutic alternative. Cecopexy may be aDDrouriate in older and debilitated Datients if there is no concomitant cecal necrosis. SN - 0021-7697 UR - https://www.unboundmedicine.com/medline/citation/16335894/[Cecal_volvulus]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0021-7697(05)80907-X DB - PRIME DP - Unbound Medicine ER -