Colonic tumour precipitating caecal volvulus within a diaphragmatic hernia  

作　　者：Ricky Harminder Bhogal Kambiz Maleki Rajan Patel 

机构地区：[1]Department of Gastroenterological Surgery,Dudley Group of Hospitals,Russell’s Hall Hospital [2]Department of Radiology,Dudley Group of Hospitals,Russell’s Hall Hospital

出　　处：《World Journal of Gastrointestinal Surgery》2013年第9期256-258,共3页世界胃肠外科杂志（英文版）（电子版）

摘　　要：An 85-year-old woman presented with sudden onset of generalised abdominal pain and absolute constipation for 4 d.On examination she had a distended abdomen.Plain abdominal radiograph revealed a gas filled viscous within the left upper quadrant.Subsequent computed tomography suggested caecal volvulus herniated through a left diaphragmatic hernia.The patient underwent reduction of the internal hernia,right hemicolectomy and mesh repair of the diaphragmatic hernia.Postoperative recovery was uneventful.Histology revealed a Dukes’A colonic cancer within the caecum.Herniation of caecal volvulus through a diaphragmatic hernia is a very rare condition and may have been precipitated by the colonic tumour.An 85-year-old woman presented with sudden onset of generalised abdominal pain and absolute constipation for 4 d.On examination she had a distended abdomen.Plain abdominal radiograph revealed a gas filled viscous within the left upper quadrant.Subsequent computed tomography suggested caecal volvulus herniated through a left diaphragmatic hernia.The patient underwent reduction of the internal hernia,right hemicolectomy and mesh repair of the diaphragmatic hernia.Postoperative recovery was uneventful.Histology revealed a Dukes’A colonic cancer within the caecum.Herniation of caecal volvulus through a diaphragmatic hernia is a very rare condition and may have been precipitated by the colonic tumour.

关 键 词：COLONIC cancer Caecal VOLVULUS BOWEL obstruction DIAPHRAGMATIC hernia BOWEL ISCHAEMIA 

分 类 号：R735.35[医药卫生—肿瘤]