1977
DOI: 10.1001/archsurg.1977.01370100081016
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Diastatic Perforation of the Cecum Without Distal Obstruction

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Cited by 19 publications
(3 citation statements)
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“…7 Quenton Macmanus reported diastatic perforation of caecum without distal obstruction in1977. 8 Seltzer Dudley reported perforation of normal caecum 9 .Our case had injury to spine following heavy bag fall on her back. Perforation of anterior wall of caecum occurred four days after spinal injury.…”
Section: Introductionmentioning
confidence: 61%
“…7 Quenton Macmanus reported diastatic perforation of caecum without distal obstruction in1977. 8 Seltzer Dudley reported perforation of normal caecum 9 .Our case had injury to spine following heavy bag fall on her back. Perforation of anterior wall of caecum occurred four days after spinal injury.…”
Section: Introductionmentioning
confidence: 61%
“…In this condition gross abdominal distension may lead to haemodynamic instability; if allowed to progress caecal perforation may occur (12). The standard treatment is colonoscopy which is both diagnostic and therapeutic.…”
Section: Discussionmentioning
confidence: 99%
“…Animal studies and retrospective data suggest a critical threshold diameter of 12 cm for the caecum for rupture, 4,20 when the intracaecal pressure rises to more than 26 cm H 2 O. 21 At this pressure, blood flow in the wall of the bowel is considerably diminished by the prolonged compression of the vessels, which is associated with a risk of ischaemic necrosis and perforation. 16 The seriousness of this condition is reflected in an overall mortality of approximately 15% with early intervention, which rises to 36-50% when the bowel is perforated or ischaemic.…”
Section: Pathophysiologymentioning
confidence: 99%