关键词: abdomen appendicitis appendix cecal operation volvulus

来  源:   DOI:10.7759/cureus.58505   PDF(Pubmed)

Abstract:
This case report presents a fascinating scenario involving a 60-year-old female who was diagnosed with cecal volvulus secondary to appendicitis. The patient\'s initial presentation included a three-day history of periumbilical pain accompanied by reduced oral intake and an inability to pass stool. Through a systematic approach involving detailed history-taking, comprehensive physical examinations, and pertinent imaging studies, a precise diagnosis of cecal volvulus induced by appendicitis was established. Subsequently, the patient underwent a timely operation, leading to a successful resolution of her condition and a remarkably swift recovery post-surgery. This unique case prompts a deeper exploration into the incidence and management of this rare phenomenon, where the seemingly unrelated condition of appendicitis precipitated a cecal volvulus. Given the unusual nature of this presentation, it underscores the importance of considering atypical etiologies in patients presenting with signs and symptoms of bowel obstruction. This discussion aims to shed light on the diagnostic challenges, treatment strategies, and outcomes associated with this intriguing interplay of pathologies, offering valuable insights for clinicians encountering similar cases in their practice.
摘要:
此病例报告介绍了一个令人着迷的情况,涉及一名60岁的女性,她被诊断为阑尾炎继发的盲肠扭转。患者的初始表现包括3天脐周疼痛病史,伴有口服摄入减少和无法通过大便。通过涉及详细历史记录的系统方法,全面体检,和相关的影像学研究,建立了由阑尾炎引起的盲肠扭转的精确诊断。随后,病人接受了及时的手术,导致她的病情成功解决,并在手术后迅速恢复。这个独特的案例促使人们对这种罕见现象的发生和管理进行更深入的探索,看似无关的阑尾炎导致盲肠扭转。鉴于此演示文稿的不寻常性质,它强调了在出现肠梗阻体征和症状的患者中考虑非典型病因的重要性。本次讨论旨在阐明诊断挑战,治疗策略,以及与这种有趣的病理相互作用相关的结果,为实践中遇到类似病例的临床医生提供有价值的见解。
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