PDF(Pubmed)
Abstract：
A 36-year-old female at 36 weeks\' gestation presented with right upper quadrant abdominal pain. She had no prior surgeries. Her pregnancy had been uncomplicated up until her presentation. Abdominal ultrasound was negative for cholecystitis or cholelithiasis, and the appendix was not visualized. During the second day of her hospital course, an abdominal magnetic resonance imaging (MRI) was performed revealing dilated small intestine with air-fluid levels and an inverted-appearing, prominent cecum. She was urgently taken to the operating room for cesarean section followed by abdominal exploration. After delivery of the child, a cecal bascule was found, with a severely distended cecum. To our knowledge, this is the first report of a cecal bascule diagnosed by MRI, and the first diagnosis of cecal bascule in a pregnant patient requiring surgical intervention. We discuss the pathophysiology, diagnosis and treatment of cecal bascule and review the current literature of reported cases.
摘要：
一名36岁女性，妊娠36周时出现右上腹腹痛。她以前没有手术。在她的演讲之前，她的怀孕并不复杂。腹部超声检查对胆囊炎或胆石症阴性，附录没有可视化。在她住院的第二天，进行了腹部磁共振成像（MRI），发现扩张的小肠具有空气-液体水平和倒置出现，突出的盲肠。她被紧急带到手术室进行剖宫产，然后进行腹部探查。分娩后，发现了一个盲肠,盲肠严重扩张.据我们所知,这是首次通过MRI诊断的盲肠基底，以及在需要手术干预的怀孕患者中首次诊断为盲肠碱。我们讨论病理生理学，盲肠碱的诊断和治疗，并复习目前报道病例的文献。
