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Diastatic Perforation of the Cecum Without Distal Obstruction: Case Report and Review of the Literature

Diastatic Perforation of the Cecum Without Distal Obstruction: Case Report and Review of the... Abstract • We present the first reported case to our knowledge of diastatic rupture of the normal cecum following cardiac surgery. All other reported cases of diastatic rupture of the cecum are reviewed. Nasotracheal intubation, hypoxemia, and enemas are thought to contribute to this complication. Prophylactic cecostomy for cecal diameters greater than 9 cm is recommended. Cecostomy and drainage are generally the treatment of choice should perforation occur. (Arch Surg 112:1227-1230, 1977) References 1. Heschel R: Mechanik der diastatischer Dormperfortionen . Wien Med Wochenschr 30:1, 1880. 2. Rack FJ: Obstructive perforation of the cecum . Am J Surg 84:527-533, 1952.Crossref 3. Albers JH, Smith L, Carter R: Perforation of the cecum . Ann Surg 143:251-255, 1953.Crossref 4. Robertson JA, Eddy WA, Vosseler AJ: Spontaneous perforation of the cecum without mechanical obstruction . Am J Surg 96:448-452, 1958.Crossref 5. Wojtalik RS, Lindenauer SM, Kahn SS: Perforation of the colon associated with adynamic ileus . Am J Surg 125:601-606, 1973.Crossref 6. Okies JE, Phillips S, Crenshaw R, et al: "No-vent" technique of coronary artery bypass . Ann Thorac Surg 19:191-195, 1975.Crossref 7. Roth JL, Valdes-Dapena A, Stein GM: Toxic megacolen in ulcerative colitis . Gastroenterology 37:239-255, 1959. 8. Wangensteen OH: Intestinal Obstructions , ed 3. Springfield, Ill, Charles C Thomas Publisher, 1955, p 39. 9. Fleischer FG, Bernstein C: Roentgen anatomical studies of normal ileo-cecal valve . Radiology 54:43-58, 1950.Crossref 10. Ravid MJ: Diastatic perforation of the G. I. tract . Am J Pathol 27:33-57, 1951. 11. Eckman WG, Wenzke F, Abramson W: Perforation of the cecum complicating adynamic ileus . Am J Surg 96:718-720, 1958.Crossref 12. Koikkalainen K, Jarvinen A: Spontaneous perforation of the proximal colon following lung surgery . Ann Chir Gynaecol 64:18-21, 1975. 13. Van Beuren FJ: The mechanism of intestinal perforation due to distention . Ann Surg 83:69-78, 1926. 14. Cooper JD, Malt RA: Meteorism produced by nasotracheal intubation and ventilatory assistance . N Engl J Med 287:652-653, 1972.Crossref 15. Jensen HK: Spontaneous perforation of the caecum following caesarean section . Acta Obstet Gynecol Scand 51:381-383, 1972.Crossref 16. Millar DR, Ovlisen B: Two cases of spontaneous perforation of the caecum following caesarean section . Acta Obst Gynececol Scand 45:254-260, 1966.Crossref 17. Lowman RM, Davis L: An evaluation of cecal size in impending perforation of the cecum . Surg Gynecol Obst 103:711-718, 1956. 18. Morton JH, Schwartz SI, Gramiak R: Ileus of the colon . Arch Surg 81:425-434, 1960.Crossref 19. Yeo R: Spontaneous perforation of the caecum: Case reports and review of the literature . Postgrad Med J 43:65-67, 1967.Crossref 20. Carrasquilla C, Arbulu A, Fromm S, et al: Cecal perforation due to adynamic ileus . Dis Colon Rectum 13:252-254, 1970.Crossref 21. Muggia AL: Perforation of the cecum associated with hypokalemic ileus . Am J Gastroenterol 57:169-171, 1972. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Diastatic Perforation of the Cecum Without Distal Obstruction: Case Report and Review of the Literature

Archives of Surgery , Volume 112 (10) – Oct 1, 1977

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Publisher
American Medical Association
Copyright
Copyright © 1977 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1977.01370100081016
Publisher site
See Article on Publisher Site

Abstract

Abstract • We present the first reported case to our knowledge of diastatic rupture of the normal cecum following cardiac surgery. All other reported cases of diastatic rupture of the cecum are reviewed. Nasotracheal intubation, hypoxemia, and enemas are thought to contribute to this complication. Prophylactic cecostomy for cecal diameters greater than 9 cm is recommended. Cecostomy and drainage are generally the treatment of choice should perforation occur. (Arch Surg 112:1227-1230, 1977) References 1. Heschel R: Mechanik der diastatischer Dormperfortionen . Wien Med Wochenschr 30:1, 1880. 2. Rack FJ: Obstructive perforation of the cecum . Am J Surg 84:527-533, 1952.Crossref 3. Albers JH, Smith L, Carter R: Perforation of the cecum . Ann Surg 143:251-255, 1953.Crossref 4. Robertson JA, Eddy WA, Vosseler AJ: Spontaneous perforation of the cecum without mechanical obstruction . Am J Surg 96:448-452, 1958.Crossref 5. Wojtalik RS, Lindenauer SM, Kahn SS: Perforation of the colon associated with adynamic ileus . Am J Surg 125:601-606, 1973.Crossref 6. Okies JE, Phillips S, Crenshaw R, et al: "No-vent" technique of coronary artery bypass . Ann Thorac Surg 19:191-195, 1975.Crossref 7. Roth JL, Valdes-Dapena A, Stein GM: Toxic megacolen in ulcerative colitis . Gastroenterology 37:239-255, 1959. 8. Wangensteen OH: Intestinal Obstructions , ed 3. Springfield, Ill, Charles C Thomas Publisher, 1955, p 39. 9. Fleischer FG, Bernstein C: Roentgen anatomical studies of normal ileo-cecal valve . Radiology 54:43-58, 1950.Crossref 10. Ravid MJ: Diastatic perforation of the G. I. tract . Am J Pathol 27:33-57, 1951. 11. Eckman WG, Wenzke F, Abramson W: Perforation of the cecum complicating adynamic ileus . Am J Surg 96:718-720, 1958.Crossref 12. Koikkalainen K, Jarvinen A: Spontaneous perforation of the proximal colon following lung surgery . Ann Chir Gynaecol 64:18-21, 1975. 13. Van Beuren FJ: The mechanism of intestinal perforation due to distention . Ann Surg 83:69-78, 1926. 14. Cooper JD, Malt RA: Meteorism produced by nasotracheal intubation and ventilatory assistance . N Engl J Med 287:652-653, 1972.Crossref 15. Jensen HK: Spontaneous perforation of the caecum following caesarean section . Acta Obstet Gynecol Scand 51:381-383, 1972.Crossref 16. Millar DR, Ovlisen B: Two cases of spontaneous perforation of the caecum following caesarean section . Acta Obst Gynececol Scand 45:254-260, 1966.Crossref 17. Lowman RM, Davis L: An evaluation of cecal size in impending perforation of the cecum . Surg Gynecol Obst 103:711-718, 1956. 18. Morton JH, Schwartz SI, Gramiak R: Ileus of the colon . Arch Surg 81:425-434, 1960.Crossref 19. Yeo R: Spontaneous perforation of the caecum: Case reports and review of the literature . Postgrad Med J 43:65-67, 1967.Crossref 20. Carrasquilla C, Arbulu A, Fromm S, et al: Cecal perforation due to adynamic ileus . Dis Colon Rectum 13:252-254, 1970.Crossref 21. Muggia AL: Perforation of the cecum associated with hypokalemic ileus . Am J Gastroenterol 57:169-171, 1972.

Journal

Archives of SurgeryAmerican Medical Association

Published: Oct 1, 1977

References