Vólvulo de ciego, reporte de un caso y revisión de la literatura
Resumen
El vólvulo de ciego es una entidad poco frecuente, representando menos del 1% de las causas de oclusión intestinal, y el 5.9% de todas las causas de vólvulo de colon. Existen factores de riesgo identificados para el desarrollo de esta patología, entre los cuales podemos mencionar: edad mayor a 70 años, antecedente de accidente cerebral vascular, parálisis cerebral y otras causas de postración. Se han identificado en necropsias, alteraciones de la fijación del ciego con una prevalencia de hasta el 11%, pudiéndose clasificar como posible factor de riesgo. Presentamos el caso de paciente del sexo femenino de 72 años con antecedentes de hipertensión arterial sistémica y diabetes tipo 2 en mal control, que acude al servicio de urgencias con datos clínicos de oclusión intestinal y datos de choque, ingresó a quirófano para laparotomía exploratoria, con hallazgo transoperatorio de vólvulo cecal, realizando cirugía de control de daños con resección de colon ascendente, 270 centímetros de intestino delgado, ileostomía terminal y procedimiento tipo Hartmann.
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Bauman, Z. M., & Evans, C. H. (2018). Volvulus. The Surgical clinics of North America, 98(5), 973–993. https://doi.org/10.1016/j.suc.2018.06.005
Kapadia M. R. (2017). Volvulus of the Small Bowel and Colon. Clinics in colon and rectal surgery, 30(1), 40–45. https://doi.org/10.1055/s-0036-1593428
Perrot, L., Fohlen, A., Alves, A., & Lubrano, J. (2016). Management of the colonic volvulus in 2016. Journal of visceral surgery, 153(3), 183–192. https://doi.org/10.1016/j.jviscsurg.2016.03.006
Lung, B. E., Yelika, S. B., Murthy, A. S., Gachabayov, M., & Denoya, P. (2018). Cecal bascule: a systematic review of the literature. Techniques in coloproctology, 22(2), 75–80. https://doi.org/10.1007/s10151-017-1725-6
Vogel, J. D., Feingold, D. L., Stewart, D. B., Turner, J. S., Boutros, M., Chun, J., & Steele, S. R. (2016). Clinical Practice Guidelines for Colon Volvulus and Acute Colonic Pseudo-Obstruction. Diseases of the colon and rectum, 59(7), 589–600. https://doi.org/10.1097/DCR.0000000000000602
Naveed M, Jamil LH, Fujii-Lau LL, et al. American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus. Gastrointest Endosc. 2020 Feb;91(2):228-235
Dane, B., Hindman, N., Johnson, E., & Rosenkrantz, A. B. (2017). Utility of CT Findings in the Diagnosis of Cecal Volvulus. AJR. American journal of roentgenology, 209(4), 762–766. https://doi.org/10.2214/AJR.16.17715
Kedrzycki, M. S., Roy Choudhury, J., & Hakky, S. (2021). Caecal volvulus: untwisting the mystery. BMJ case reports, 14(3), e237165. https://doi.org/10.1136/bcr-2020-237165
Gastrointestinal: cecal volvulus. (2004). Journal of gastroenterology and hepatology, 19(2), 225. https://doi.org/10.1111/j.1440-1746.2004.03340.x
Jones, R. G., Wayne, E. J., & Kehdy, F. J. (2012). Laparoscopic detorsion and cecopexy for treatment of cecal volvulus. The American surgeon, 78(5), E251–E252.
Sakamoto, Y., Hiyoshi, Y., Sakata, K., Toyama, E., Takata, N., Yoshinaka, I., Harada, K., & Baba, H. (2018). Case of cecal volvulus successfully treated with endoscopic colopexy. Asian journal of endoscopic surgery, 11(4), 402–404. https://doi.org/10.1111/ases.12460
Ito, D., Kaneko, S., Morita, K., Seiichiro, S., Teruya, M., & Kaminishi, M. (2015). Cecal volvulus caused by endometriosis in a young woman. BMC surgery, 15, 77. https://doi.org/10.1186/s12893-015-0063-8
Miyao, M., Takahashi, T., Okusa, M., Kusakabe, M., Takano, R., Masuda, Y., Kawashima, M., & Yoshida, H. (2019). Recurrent Bowel Obstruction Caused by Cecal Volvulus: A Case Report. Journal of Nippon Medical School = Nippon Ika Daigaku zasshi, 86(3), 183–186. https://doi.org/10.1272/jnms.JNMS.2019_86-308
Habre, J., Sautot-Vial, N., Marcotte, C., & Benchimol, D. (2008). Caecal volvulus. American journal of surgery, 196(5), e48–e49. https://doi.org/10.1016/j.amjsurg.2007.11.029
Baldarelli, M., De Sanctis, A., Sarnari, J., Nisi, M., Rimini, M., & Guerrieri, M. (2007). Laparoscopic cecopexy for cecal volvulus after laparoscopy. Case report and a review of the literature. Minerva chirurgica, 62(3), 201–204.
Knowles, C. H., & Walker, J. A. (2021). Caecal volvulus on a background of recurrent caecocolic torsion. Annals of the Royal College of Surgeons of England, 103(5), e177–e179. https://doi.org/10.1308/rcsann.2020.7114
Majeski J. (2005). Operative therapy for cecal volvulus combining resection with colopexy. American journal of surgery, 189(2), 211–213. https://doi.org/10.1016/j.amjsurg.2004.11.004
Agko, M., Gociman, B., Keilani, Z. M., & Mukherjee, A. (2012). Cecal volvulus: a rare complication of colonoscopy. International journal of colorectal disease, 27(2), 265–266. https://doi.org/10.1007/s00384-011-1223-7
Eng, M., & Ravindra, K. (2009). Cecal volvulus following laparoscopic nephrectomy and renal transplantation. JSLS : Journal of the Society of Laparoendoscopic Surgeons, 13(4), 612–615. https://doi.org/10.4293/108680809X12589999538156
Weiss B. D. (1982). Cecal volvulus: A diagnostic and therapeutic challenge. Postgraduate medicine, 72(2), 189–194. https://doi.org/10.1080/00325481.1982.11716164
Takeuchi, H., Ikeda, Y., Komori, Y., Tahara, K., Shiromizu, A., Hayashi, H., & Muto, Y. (2008). Cecal volvulus in cerebral palsy: report of a case. Surgery today, 38(2), 170–173. https://doi.org/10.1007/s00595-007-3581-x
Bandurski, R., Zaręba, K., & Kędra, B. (2011). Cecal volvulus as a rare cause of intestinal obstruction. Polski przeglad chirurgiczny, 83(9), 515–517. https://doi.org/10.2478/v10035-011-0080-y
Fakhro, A., O'Riordan, J. M., Lawler, L. P., & O'Connell, P. R. (2009). Cecal volvulus as a complication of gastric banding. Obesity surgery, 19(12), 1734–1736. https://doi.org/10.1007/s11695-008-9703-8
Consorti, E. T., & Liu, T. H. (2005). Diagnosis and treatment of caecal volvulus. Postgraduate medical journal, 81(962), 772–776. https://doi.org/10.1136/pgmj.2005.035311
Ferris, B., & Dyke, G. (2019). Caecal volvulus post-appendicectomy in pregnancy: a case report. ANZ journal of surgery, 89(4), 433–434. https://doi.org/10.1111/ans.14099
Sujka, J., Teixeira, A. F., & Jawad, M. A. (2015). Suspected cecal volvulus as a reason for abdominal pain after gastric bypass: a case series. Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 11(4), 978–979. https://doi.org/10.1016/j.soard.2015.04.010
Katoh, T., Shigemori, T., Fukaya, R., & Suzuki, H. (2009). Cecal volvulus: report of a case and review of Japanese literature. World journal of gastroenterology, 15(20), 2547–2549. https://doi.org/10.3748/wjg.15.2547
El Bouhaddouti, H., & El Haoudi, K. (2014). Volvulus du cæcum sur tumeur appendiculaire: à propos d'un cas rare [Cecal volvulus on appendiceal tumor: report of a rare case]. The Pan African medical journal, 19, 199. https://doi.org/10.11604/pamj.2014.19.199.4132
Patel, J., & Tare, P. (2017). A perforated caecal volvulus in the foramen of Winslow. BMJ case reports, 2017, bcr2017219475. https://doi.org/10.1136/bcr-2017-219475
Chaudry, T. H., Jamil, M., Niaz, K., & Basher, G. (2015). Acute caecal volvulus: A diagnostic paradigm. JPMA. The Journal of the Pakistan Medical Association, 65(12), 1357–1359.
Ramírez-Ramírez, M. M., Villanueva-Sáenz, E., & Ramírez-Wiella-Schwuchow, G. (2017). Colectomía derecha laparoscópica electiva por vólvulo cecal: reporte de un caso y revisión de la literatura [Elective laparoscopic right colectomy for caecal volvulus: case report and literature review]. Cirugia y cirujanos, 85(1), 87–92. https://doi.org/10.1016/j.circir.2016.03.003
Krokidis, M., Segos, N., Sevrisarianos, N., & Hatzidakis, A. (2009). Imaging findings of cecal volvulus. Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver, 41(10), 768. https://doi.org/10.1016/j.dld.2009.02.052
Hsia, R., Chiao, A., & Law Courter, J. (2007). Images in emergency medicine. Cecal volvulus. Annals of emergency medicine, 49(3), 272–281. https://doi.org/10.1016/j.annemergmed.2006.04.020
Loizides, S., Hadjivassiliou, A., Uzzaman, M. M., Vasudevan, S. P., & Francis, D. (2013). An unusual cause of bowel obstruction: caecal volvulus. British journal of hospital medicine (London, England : 2005), 74(1), 55. https://doi.org/10.12968/hmed.2013.74.1.55
Scott, C. D., Trotta, B. M., Dubose, J. J., Ledesma, E., & Friel, C. M. (2008). A cruel twist: post-operative cecal volvulus. Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 14(2), 158–162.
Ortega, P. M., Rotellar, F., Arredondo, J., Baixauli, J., Zozaya-Larequi, F. J., Betés, M., & Hernández-Lizoáin, J. L. (2014). Minimal invasive management of acute cecal volvulus: colonoscopy followed by laparoscopic cecopexy. Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva, 106(7), 497–499.
Bappayya, S., Tsai, H. H., & Bui, H. (2020). Intermittent caecal volvulus: a rare cause of right iliac fossa pain in patients with previous right oophorectomy. ANZ journal of surgery, 90(12), 2577–2579. https://doi.org/10.1111/ans.15946
Anjum, G. A., Jaberansari, S., & Habeeb, K. (2013). Caecal volvulus: a consequence of acute cholecystitis. BMJ case reports, 2013, bcr2013009705. https://doi.org/10.1136/bcr-2013-009705
Rodríguez-Hermosa, J. I., Martín, A., Farrés, R., Pont, J., Codina-Cazador, A., Ruiz, B., Roig, J., & Olivet, F. (2005). Obstrucción intestinal por vólvulo de ciego [Intestinal occlusion due to cecal volvulus]. Cirugia espanola, 78(6), 385–387. https://doi.org/10.1016/s0009-739x(05)70960-x
PALMER J. D. (1949). Volvulus of the caecum. Canadian Medical Association journal, 60(5), 486–490.
Domínguez-Garijo, P., & Guzmán, Y. (2021). Cecal volvulus secondary to iatrogenic postoperative intestinal obstruction. Surgery, 170(5), e21–e22. https://doi.org/10.1016/j.surg.2021.03.060
Pirró, N., Corroller, L. E., Solari, C., Merad, A., Sielezneff, I., Sastre, B., Champsaur, P., & Di Marino, V. (2006). Volvulus du caecum: bases anatomiques et physiopathologie [Cecal volvulus: anatomical bases and physiopathology]. Morphologie : bulletin de l'Association des anatomistes, 90(291), 197–202. https://doi.org/10.1016/s1286-0115(06)74506-4
Wong, M., Brooke Jeffrey, R., Rucker, A. N., & Olcott, E. W. (2020). Ileocolic vascular curvature: a new CT finding of cecal volvulus. Abdominal radiology (New York), 45(10), 3057–3064. https://doi.org/10.1007/s00261-020-02491-w
López Pérez, E., Martínez Pérez, M. J., Ripollés González, T., Vila Miralles, R., & Flors Blasco, L. (2010). Vólvulo cecal: características en imagen [Cecal volvulus: imaging features]. Radiologia, 52(4), 333–341. https://doi.org/10.1016/j.rx.2010.03.014
Madiba, T. E., & Thomson, S. R. (2002). The management of cecal volvulus. Diseases of the colon and rectum, 45(2), 264–267. https://doi.org/10.1007/s10350-004-6158-4
Sylvester KR, Ooko PB, Mwachiro MM, Parker RK. Cecal volvulus in rural Kenya: delayed presentation contributes to high mortality. BMC Surg. 2021 Dec 19;21(1):430. doi: 10.1186/s12893-021-01416-8. PMID: 34923984; PMCID: PMC8684650.
Derechos de autor 2022 Jesús Vázquez Añorve;Luis Ángel Córdoba Muñoz;Ana Karen García Hernández;Mónica Heredia Montaño;Gamaliel Munive Molina;Jasson Leonel Legorreta Calderón
Esta obra está bajo licencia internacional Creative Commons Reconocimiento 4.0.
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