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Home > West Medicine > Surgery > General Surgery
K56.203

Cecal Volvulus

普外科

Common symptoms

休克、肠鸣、结肠血管发育不良、腹痛伴恶心、呕吐、腹胀、粪便嵌塞、便秘、粪样呕吐物、恶心、肠套叠

The pathology of disease

Cecal volvulus is twisting of cecum (due to anomalous fixation), causing closed-loop obstruction and ischemia, presenting with acute right-sided abdominal pain and distension. Treatment: NPO; IV fluids; urgent surgical exploration; detorsion + cecopexy or resection (right hemicolectomy) if necrotic/perforated; endoscopic decompression rarely successful; antibiotics; monitor for ischemia/recurrence; follow-up.

Common Symptoms

Right-sided abdominal pain; distension; by anomalous cecal fixation

Causes and Pathogenesis

Anomalous cecal mobility allows twisting and closed-loop obstruction.

Treatment

Urgent surgery; cecopexy/resection if necrotic; NPO/IV fluids

Preventive Measures

Early recognition.

Department to Visit

It is recommended to visit the Gastrointestinal-surgery/Emergency department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.