Características en tomografía computarizada de la isquemia cecal aislada

Giménez, J. Guitart; Llinás, M. Pagés; Ayllón, M. Domingo; Gibert, J. Rimola; Gómez, S Sánchez; Colella, C. Ayuso

doi:10.1016/j.rx.2011.09.021

Cited by 6 publications

(3 citation statements)

References 16 publications

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“…Guitart et al suggested that preoperative CT findings suggesting ICN are: (1) thickening of the cecal wall; (2) abrupt transition between the ischemic cecum mural thickening and the ascending colon and (3) pneumatosis of the cecal wall [14]. However, these signs are non-specific and not always recognized as in our case.…”

Section: Discussionmentioning

confidence: 55%

“…The cecum is mainly supplied by the anterior and posterior caecal arteries. These arteries often arise from the vascular arcade between the ileal branch and colic branch of the ileocolic artery, while, in the others, these arteries arise directly from the ileal or colic branch [2,14,15]. If this arcade is absent, the cecum blood supply is considered to be deficient [2].…”

Section: Discussionmentioning

confidence: 99%

“…According to previous reports, most patients who develop ICN have histories of congestive heart failure, cardiac surgeries or hemodialysis [1,2,3,4,5,6,7,8,9,10,11,12,13]. Preoperative diagnosis is difficult because of non-specific radiologic findings [2,14]. However, urgent surgical resection of the damaged intestine is required.…”

Section: Introductionmentioning

confidence: 99%

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A Case of Isolated Cecal Necrosis Preoperatively Diagnosed with Perforation of Cecum

et al. 2019

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Isolated cecal necrosis (ICN) is a rare condition which is developed under decreased mesenteric perfusion. Only a few dozen cases of ICN have been reported previously. The patient was a 59-year-old male with a previous history of atrial fibrillation. He presented to our emergency room with the chief complaint of lower abdominal pain. Computed tomography imaging revealed a dilated cecum and presence of free air. With a preoperative diagnosis of perforation of the cecum; an urgent surgery was conducted. Intraoperative findings revealed an ischemic change of the cecum and a laparoscopic-assisted ileocecal resection was performed. The pathological findings showed transmural ischemic change on the anti-mesenteric side of the cecum, and the diagnosis of ICN was achieved. Preoperative diagnosis of ICN is difficult because of its non-specific radiological features. In patients with right lower abdominal pain, ICN should be considered as a differential diagnosis especially if the patient has a comorbidity causing hypotension attack.

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Section: Discussionmentioning

confidence: 55%