CASE 1

There's a real case about CECAL NECROSIS.

This happen to my own aunt. My aunt admit to the HOSPITAL a day before AIDILFITRI~

The symptoms that bring her to hospital are :

•  SHORTNESS OF BREATH (SOB)
•  FEBRILE (FEVER)
•  PUFFINESS
•  PALE LOOKING

When admitted to hospital, the DOCTOR said that her : 

CREATININE high ~ 229 g mol^-1

AND she has.........................................

 PNEUMONIA

CARDIOMEGALY 

LOW BLOOD PRESSURE about (83/54)

During treatment, DOCTOR give on NOREADRENALINE & GELOFUSIN to increase the BLOOD PRESSURE & ANTIBIOTICS to treat the PNEUMONIA (AMOXICILLIN if I not mistaken)

THEN....

  

 after 3 days stayed in hospital she was suspected from ACUTE APPENDICITIS

(TENDERNESS & ABDOMINAL ENLARGED) was seen

Tenderness : pain @ discomfort when an affected area is touched

        LAPAROSCOPY was done & there is no APPENDICITIS but actually her CAECUM was GANGRENE. 

ANATOMY OF LARGE INTESTINE

What are the doctors ACTION??

THEY DID  * RIGHT HEMICOLECTOMY WITH ANASTOMOSIS

(BY  : middle abdominal incision TO allow exploration of all of the intra-abdominal organs and intestine)

 Resources ..from HERE# 

.....................................................................

NECROTIC CECAL presents with RIGHT LOWER QUADRANT PAIN, and therefore may resemble ACUTE APPENDICITIS

among the causes of CECAL NECROSIS are  

 ...VOLVULUS...

*Twisting of bowel loop around the mesentery. Usually occurs in the SIGMOID COLON, but also in the CECAL COLON.

CECAL VOLVULUS

   

...INTUSSUSCEPTION...

 *One segment of bowel TELESCOPES into another at the ILEOCECAL JUNCTION.

SMALL INTESTINE INTUSSUSCEPTION

...and many more...

 Resources .. from LANGE SMART CHARTS

 by ROBERT GROYSMAN

 to be continued~

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