Multidetector Computed Tomography of Cecal Volvulus in a bed-ridden Patient

長期臥床病患盲腸扭結之多探頭電腦斷層攝影：病例報告

林宇旌(Yu-Ching Lin) ； 黃耀祥(Li-Jen Wang) ； 王俐人(Yon-Cheong Wong)

《中華放射線醫學雜誌》 34卷4期 (2009/12) Pp. 299-302

摘要

臨床醫師目前面臨的困境是盲腸扭結並無明確的臨床特徵於是常常延遲治療而導致腸壞死。但早期偵測出盲腸扭結卻可大大降低死亡率。我們報告一位三十二歲長期臥床男性以突發性嘔吐和腹痛為入院的主訴，多探頭電腦斷層顯示盲腸扭轉樣式和扭結導致部分腸壁壞死之嚴重度，病人立即接受手術治療。十日後預後良好出院。由此病例報告我們得知多探頭電腦斷層可以安全，快速並且準確的早期偵測出盲腸扭結而讓病患得到更好的預後以及減少住院天數。

並列摘要

Cecal volvulus has great diversities of clinical and laboratory presentations, which often lead to delayed treatment. Due to the drastic increase in mortality from gangrenous bowel, early identification is essential for clinician. We present a case of 32 year-old man in bed-ridden status, with severe vomiting and diffuse abdominal pain. Multiplanar reformatted multidetector computed tomography (MDCT) depicted cecal volvulus's configuration and strangulation related partial gangrenous wall, thus surgery was soon performed. Ten days later, he was discharged under stable condition. This case showed that MDCT provides a safe, fast and accurate way of early identification of cecal volvulus which may lead to better prognosis and shorter hospital stay.