■盲肠扭转(CV)的发病率达到每年每百万2.8-7.1。CV是必须立即治疗的外科紧急情况,因为死亡率可以达到30%,复发率为40%。这项研究显示了一例盲肠肠扭转的案例,并根据术后结果提出了基于证据的盲肠固定术的适应症和管理建议。
方法:33岁男性在入院前一天主诉持续性急性腹痛。整个腹部突然感到疼痛。在体检时,整个腹部都有明显的疼痛,伴随着肌肉防御,肠鸣音增加。实验室仅显示白细胞增加。增强腹部计算机断层扫描(CT)显示闭环阻塞(CLO)征象。
■在案例系列中支持Caecopexy技术的使用,因为它可以安全地完成,快,并且不需要打开肠段。在前人研究的基础上,没有低发病率,死亡率,和复发。在这个病人身上,进行了盲肠切除术,输出良好,无并发症。
结论:Caecopexy是一种安全的,简单,侵入性较小的程序。盲肠技术的优点是发病率低,死亡率,和复发。本图中患者的结果与其他文献一致。因此,它可以用作下一例盲肠扭转的循证建议。
UNASSIGNED: The incidence of caecal volvulus (CV) reaches 2.8-7.1 per million per year. CV is a surgical emergency that must be treated immediately because the mortality rate can reach 30 %, and the recurrence rate is 40 %. This study showed a case illustration of caecal volvulus with evidence-based recommendations for indications and management of caecopexy based on postoperative outcomes.
METHODS: 33-Year-old male came with chief complaints of persistent acute abdominal pain one day before hospital admission. Pain is felt suddenly throughout the abdomen. On physical examination, palpable pain in the entire abdomen is obtained, accompanied by the muscular defence with increased bowel sounds. The laboratory only showed increased white blood cells. Abdominal computed tomography (CT) with contrast showed closed-loop obstruction (CLO) signs.
UNASSIGNED: Caecopexy technique use is supported in a case series because it can be done safely, quickly, and without the need to open intestinal segments. Based on previous researches, there were none to low rate of morbidity, mortality, and recurrence. In this patient, caecopexy was carried out and showed good output with no complications.
CONCLUSIONS: Caecopexy is a safe, simple, and less invasive procedure. The advantages of the caecopexy technique are low morbidity, mortality, and recurrence. The patient\'s outcome in this illustration is consistent with other literature. Thus it can be used as evidence-based recommendations in the management of the next case of caecal volvulus.