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KMID : 0356720030190010048
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Journal of the Korean Society of Coloproctology
2003 Volume.19 No. 1 p.48 ~ p.51
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A Case of Cecal Volvulus Diagnosed with Abdominal Computed Tomography
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Hwang Dae-Joon
Kim Tae-Hwa
Cho Ji-Woong
Lee Hae-Wan
Ryu Byoung-Yoon
Kim Hong-Ki
Kim Bong-Su
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Abstract
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Cecal volvulus is a rare disease of the colon, which occurs in less than 2% of adult intestinal obstruction cases. Precipitating factors can be identified in some patients, including adhesions, a recent abdominal operation, congenital bands, pregnancy, violent exercise, malrotation, obstructing lesions of the left colon and colonoscopy, etc. A right colectomy is a definitive treatment for the best long term control of symptoms, and is the treatment of choice when gangrenous changes are present in the bowel. However, in the presence of viable bowel, the preferred treatment is a controversial matter, with options including; detorsion, cecopexy and cecostomy, etc. We experienced a case of cecal vovulus, which had been treated for COPD at ICU. A diagnosis was made with abdominal computed tomography, and a right hemicolectomy was performed.
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KEYWORD
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Cecal volvulus, Colon Resection
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