PDF(Pubmed)
Abstract：
Caecal volvulus is an uncommon surgical condition affecting mostly females in their second and third decade of life. It is of vital importance that the general surgeon recognises, resuscitates, diagnoses, and effectively treats these cases in a timely manner to maximise the chance of a positive outcome for the patient. Whilst there are several types of caecal volvulus, the treatment involves, in most cases, surgical intervention. There is a wide variety of surgical interventions that can be performed, ranging from caecopexy or fixation to lateral wall to performing a right hemicolectomy with primary ileocolic anastomosis. There are several factors that influence this decision and can also be based on an individual surgeon\'s expertise and experience. We present a case of a 21-year-old female who presented to our Emergency Department with lower abdominal pain, nausea, and vomiting. She was diagnosed with caecal volvulus with the aid of CT imaging, following which she underwent laparotomy in which caecal volvulus was noted. She underwent appendicectomy and caecopexy and was discharged after an uneventful recovery on post-operative day five and remains well on follow-up.
摘要：
盲肠肠扭转是一种罕见的手术疾病，主要影响女性的第二个和第三个十年。普通外科医生认识到这一点至关重要，复苏，诊断,并及时有效治疗这些病例，以最大限度地为患者带来积极结果的机会。虽然有几种盲肠扭转,治疗涉及，在大多数情况下,手术干预。有各种各样的外科手术可以进行，从盲肠固定术或固定到侧壁，再到右半结肠切除术和原发性回肠吻合术。有几个因素影响这个决定，也可以基于个人外科医生的专业知识和经验。我们介绍了一个21岁的女性，她因下腹部疼痛而到我们的急诊科就诊，恶心,和呕吐。在CT成像的帮助下，她被诊断为盲肠扭转，随后，她接受了剖腹手术，其中注意到盲肠扭转。她接受了阑尾切除术和盲肠固定术，并在术后第五天顺利康复后出院，并且随访良好。
