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[The clinico-evolutionary and therapeutic aspects in diastatic perforation of the cecum].
Chirurgia (Bucur). 1997 Sep-Oct; 92(5):337-42.C

Abstract

We describe five cases of diastatic perforation of cecum due to colonic cancer obstruction with secondary diffuse peritonitis, all in elderly patients with many organics dysfunctions and, most important a late arrival for hospitalisation (over 48 h). The surgical treatment aimed for the perforation and the obstruction has permitted the realization--in emergency--of: cecostomy on site of perforation, with multiple peritoneal drainage; subtotal colectomy with ileosigmoid anastomosis; cecum perforation sutures, with left colostomy, opened per primam; cecostomy on site of perforation with left colostomy, drainage. We underline the severe postoperative evolution, with only one survival be cause of the fast pace evolution of toxico-septic shock by pyostercoral peritonitis due to perforation.

Authors

Popa F
No affiliation info available
Strâmbu V
No affiliation info available
Constantin V
No affiliation info available
Bălălău C
No affiliation info available
Ciocoiu E
No affiliation info available
Cuibac A
No affiliation info available

MeSH

AgedAnastomosis, SurgicalCecal DiseasesCecostomyColon, SigmoidColonic NeoplasmsEmergenciesHumansIleumIntestinal PerforationPeritonitis

Pub Type(s)

English Abstract
Journal Article

Language

rum

PubMed ID

9462952

Citation

Popa, F, et al. "[The Clinico-evolutionary and Therapeutic Aspects in Diastatic Perforation of the Cecum]." Chirurgia (Bucharest, Romania : 1990), vol. 92, no. 5, 1997, pp. 337-42.
Popa F, Strâmbu V, Constantin V, et al. [The clinico-evolutionary and therapeutic aspects in diastatic perforation of the cecum]. Chirurgia (Bucur). 1997;92(5):337-42.
Popa, F., Strâmbu, V., Constantin, V., Bălălău, C., Ciocoiu, E., & Cuibac, A. (1997). [The clinico-evolutionary and therapeutic aspects in diastatic perforation of the cecum]. Chirurgia (Bucharest, Romania : 1990), 92(5), 337-42.
Popa F, et al. [The Clinico-evolutionary and Therapeutic Aspects in Diastatic Perforation of the Cecum]. Chirurgia (Bucur). 1997 Sep-Oct;92(5):337-42. PubMed PMID: 9462952.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The clinico-evolutionary and therapeutic aspects in diastatic perforation of the cecum]. AU - Popa,F, AU - Strâmbu,V, AU - Constantin,V, AU - Bălălău,C, AU - Ciocoiu,E, AU - Cuibac,A, PY - 1998/2/14/pubmed PY - 1998/2/14/medline PY - 1998/2/14/entrez SP - 337 EP - 42 JF - Chirurgia (Bucharest, Romania : 1990) JO - Chirurgia (Bucur) VL - 92 IS - 5 N2 - We describe five cases of diastatic perforation of cecum due to colonic cancer obstruction with secondary diffuse peritonitis, all in elderly patients with many organics dysfunctions and, most important a late arrival for hospitalisation (over 48 h). The surgical treatment aimed for the perforation and the obstruction has permitted the realization--in emergency--of: cecostomy on site of perforation, with multiple peritoneal drainage; subtotal colectomy with ileosigmoid anastomosis; cecum perforation sutures, with left colostomy, opened per primam; cecostomy on site of perforation with left colostomy, drainage. We underline the severe postoperative evolution, with only one survival be cause of the fast pace evolution of toxico-septic shock by pyostercoral peritonitis due to perforation. SN - 1221-9118 UR - https://www.unboundmedicine.com/medline/citation/9462952/[The_clinico_evolutionary_and_therapeutic_aspects_in_diastatic_perforation_of_the_cecum]_ DB - PRIME DP - Unbound Medicine ER -