Caecal volvulus following left-side laparoscopic retroperitoneal nephroureterectomy.

BMJ Case Rep

Urology, Maidstone and Tunbridge Wells NHS Trust, Maidstone, Kent, UK.

Published: July 2019

AI Article Synopsis

  • Caecal volvulus is a rare but serious cause of intestinal blockage that can occur after retroperitoneal surgery, leading to high risks of complications and death.
  • An 80-year-old woman experienced this condition following an elective surgery for cancer and developed an intestinal obstruction.
  • She underwent an emergency surgical procedure to address the caecal volvulus and reconnect her intestines.

Article Abstract

Caecal volvulus is an uncommon cause of intestinal obstruction, with a high associated morbidity and mortality. Caecal volvulus is a very rare complication following retroperitoneal surgery. As such, a high degree of clinical suspicion is warranted post operatively to minimise delay in definitively investigating and managing this condition. We present a case of an 80-year-old Caucasian woman who was admitted for an elective left-sided laparoscopic retroperitoneal nephroureterectomy for transitional cell carcinoma of the left upper pole renal calyx. Postoperatively, the patient developed intestinal obstruction, secondary to caecal volvulus. The patient underwent an emergency laparotomy and limited right-sided colonic resection with primary anastomosis.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6613954PMC
http://dx.doi.org/10.1136/bcr-2018-228878DOI Listing

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