TITLE

Laparoscopic cecopexy for mobile cecum syndrome manifesting as cecal volvulus: Report of a case

AUTHOR(S)
Takaaki Tsushimi; Hiroshi Kurazumi; Yoshihiro Takemoto; Kazuhito Oka; Toshihiro Inokuchi; Atsushi Seyama; Tomoaki Morita
PUB. DATE
February 2008
SOURCE
Surgery Today;Feb2008, Vol. 38 Issue 4, p359
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Abstract  A 44-year-old woman was admitted to our hospital for investigation and treatment of sudden abdominal pain and distention. Plain abdominal radiography and abdominal computed tomography (CT) findings were suggestive of sigmoid volvulus. She underwent an emergency colonoscopy, and the scope passed easily through the sigmoid colon and reached the ascending colon quickly. However, stenosis with concentricity of the fold was observed in the cecum, which was shifted upward and to the left. Based on these findings, we diagnosed cecal volvulus caused by mobile cecum syndrome. The patient’s symptoms resolved quickly after colonoscopic reduction and elective laparoscopic surgery was performed 18 days after admission. Perioperative examination revealed a mobile cecum caused by an elongated ascending colon. We sutured the cecum and ascending colon to the lateral peritoneum laparoscopically with interrupted sutures. The patient recovered well and was discharged on postoperative day 7. An unfixed intestine can be detected easily during laparoscopic surgery, which is minimally invasive and cosmetically, physically, and economically beneficial. Thus, we recommend laparoscopic cecopexy for mobile cecum syndrome.
ACCESSION #
32608279

 

Related Articles

  • Should routine spiral computed tomography be performed in adult patients with acute abdominal pain of the right lower quadrant? Regimbeau, J. M.; Panis, Y.; Lê, P.; Soyer, P.; Kardache, M.; Rymer, R.; Valleur, P. // International Journal of Colorectal Disease;Mar2003, Vol. 18 Issue 2, p126 

    Background and aims. To determine whether spiral computed tomography (SCT) is helpful in the management of adult patients with acute pain of the right lower quadrant. Patients and methods. The prospective study included 204 patients with acute pain of the right lower quadrant during two periods:...

  • Analysis of diagnostic confidence: Application to data from a prospective randomized controlled trial of CT for acute abdominal pain. Ng, Chaan S.; Palmer, Christopher R. // Acta Radiologica;Apr2010, Vol. 51 Issue 4, p368 

    Background: Changes in diagnostic confidence are used as a measure of a test's efficacy. There are several methods for analyzing such data, but it is unclear which are most robust. Purpose: To compare analytical methods for assessing diagnostic confidence, applied to data from a prospective...

  • SELF ASSESSMENT ANSWERS: A man with abdominal pain.  // Postgraduate Medical Journal;Dec2004, Vol. 80 Issue 950, p743 

    The article presents information on a case study involving a man with abdominal pain. The chest radiograph shows a homogenous round opacity in the left upper zone with erosions of the second, third, and fourth ribs. Chest computed tomography reveals erosion of the second, third, and fourth ribs...

  • Cystic lymphangioma of the jejunal mesentery presenting with acute abdomen in an adult. Jun Chul Chung; Ok Pyung Song // Canadian Journal of Surgery;Dec2009, Vol. 52 Issue 6, pE286 

    The article presents a case study of a 31-year-old man suffering a severe abdominal pain the periumbilical area. Using a computed tomography (CT) scan, a low-density homogeneous tumour was then found which was oval in shape, and an enhancement of the septum. Hence, an examination showed that...

  • Evaluation of early abdominopelvic computed tomography in patients with acute abdominal pain of unknown cause. Ng, Chaan S; See, Teik Choon; Beharry, Nigel A.; Housden, Barbara A; Dixon, Adrian K.; Watson, Christopher J E; Bradley, J Andrew; Palmer, Christopher R // BMJ: British Medical Journal (International Edition);12/14/2002, Vol. 325 Issue 7377, p1387 

    Objectives: To evaluate the impact of early abdominopelvic computed tomography in patients with acute abdominal pain of unknown cause on length of hospital stay and accuracy of diagnosis. Design Randomised, prospective controlled trial. Setting: Teaching hospital in England Participants: 120...

  • Abdominal pain in a young man -- a rare condition to consider. Pankhania, A. C.; Kumar, E. N. // British Journal of Radiology;Oct2008, Vol. 81 Issue 970, p837 

    The article presents a study on the diagnosis of abdominal pain, nausea and onset of a fever, using the computed tomography (CT) scan. The medical technology being used has accordingly, demonstrated a well-defined, large and low-attenuation mass arising anterior to the abdominal aorta diaphragm...

  • Unique Presentation of Urachal Cyst Disease: Incidental Finding to Complicated Infection. Lee, Seong K.; Kiffin, Chauniqua; Sanchez, Rafael; Carrillo, Eddy; Rosenthal, Andrew // Case Reports in Urology;2013, p1 

    Urachal remnant disease is uncommon in adults and can present with symptoms ranging from drainage near the umbilicus to a severe abdominal infection. Most cases are referred for treatment once diagnosed either clinically or radiographically with ultrasound or computerized tomography. We present...

  • Ultrasonography of the acute abdomen: lost art or future stethoscope? Puylaert, Julien B. C. M. // European Radiology;Jun2003, Vol. 13 Issue 6, p1203 

    Discusses the use of ultrasonography (US) in the acute abdomen. Major advantages of computed tomography (CT) over ultrasonography for acute abdomen; Advantages of US over CT; Considerations in performing US; Assertion that US is the true stethoscope of the future; Claim that US forms the best...

  • Laparoscopy for abdominal emergencies. Sauerland, S.; Agresta, F.; Bergamaschi, R.; Borzellino, G.; Budzynski, A.; Champault, G.; Fingerhut, A.; Isla, A.; Johansson, M.; Lundorff, P.; Navez, B.; Saad, S.; Neugebauer, E. // Surgical Endoscopy;Jan2006, Vol. 20 Issue 1, p14 

    Background: Emergency laparoscopic exploration can be used to identify the causative pathology of acute abdominal pain. Laparoscopic surgery also allows treatment of many intraabdominal disorders. This report was prepared to describe the effectiveness of laparoscopic surgery compared to...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics