Scribd Logo
Upload

Welcome to Scribd!

  • 9 views

    Abstract Rupturi Si Perforatii Danu

    Uploaded by

    Danu Linga
    asdzxcaqw

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Abstract Rupturi Si Perforatii Danu

    Uploaded by

    Danu Linga
    9 views2 pages
    asdzxcaqw

    Original Title

    abstract Rupturi si perforatii Danu

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    asdzxcaqw

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    9 views2 pages

    Abstract Rupturi Si Perforatii Danu

    Uploaded by

    Danu Linga
    asdzxcaqw

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Diastatic perforation of cecum as a result of obstructed colon

    Author: Linga Danu


    Scientific adviser: Revencu Sergiu, MD, PhD, Associate Professor, Department of Surgery,
    Nicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, Republic of
    Moldova

    Introduction

    Acute intestinal obstructions in the colon are mostly caused by colon cancer. Evolution
    can be complicated by ruptures and diastatic perforation of the cecum

    The aim of the study

    The aim of the study is to present the surgical solutions of rare cases of diastatic cecum
    perforations.

    Material and methods: There are 5 presented cases in which, on the installed occlusive
    background, diastatic ruptures with perforation of the cecum colon had occured, 3 men and 2
    women with an average age of 52.7 years. Plain abdominal radiography shows
    pneumoperitoneum associated with hydro-aeric levels in 3 cases and in 2 cases hydro-aeric
    levels on the check colon greater than 10 centimeters
    Results: Indications for surgey were diffuse peritonitis (3 cases) and acute intestinal
    occlusion (2 cases). Occlusive tumor was located on the sigmoid colon in 2 cases, on the recto-
    sigmoid segment in other 2 cases and in one case on the descending colon.
    Surgeries performed:
    a) Right hemicolonectomy associated with Hartmann's rectosigmoid resection with
    ileostoma and transversostoma
    b) Right hemicolonectomy with Hartmann's descendeto-sigmoid resection with
    ileotransversostomy.
    Postoperative evolution without deaths
    Conclusions:
    1. Diastatic cecum perforation is a serious evolutive complication of colonic tumor
    processes under the condition of ileo-cecal valve being functional
    2. The operative act must solve the occlusive cause and the diastatic perforation of the
    cecum colon, performed by optimal resections of the colon with the preservation of an
    intermediate colon segment and must have a visa for oncological resolution
    3. The postoperative quality of pacient’s life is acceptable, taking in consideration an
    afterward restore of the intestinal transit
    Key words: diastatic perforation , cecum perforation ,occlusion

    You might also like