Percutaneous Emergency Needle Caecostomy for Prevention of Caecal Perforation
Caecal perforation is a life-threatening complication of large bowel obstruction with a reported mortality of 34% to 72%. This case describes the novel use of percutaneous needle caecostomy as a life-saving measure to prevent imminent caecal perforation in a 68-year-old lady with large bowel obstruc...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2017/1090769 |
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| author | Alexandra M. Limmer Zackariah Clement |
| author_facet | Alexandra M. Limmer Zackariah Clement |
| author_sort | Alexandra M. Limmer |
| collection | DOAJ |
| description | Caecal perforation is a life-threatening complication of large bowel obstruction with a reported mortality of 34% to 72%. This case describes the novel use of percutaneous needle caecostomy as a life-saving measure to prevent imminent caecal perforation in a 68-year-old lady with large bowel obstruction secondary to an incarcerated incisional hernia. After careful review of computed tomography images and measurement of distances from the abdominal wall to the caecum, the patient’s caecum was decompressed in the emergency department using a needle under local anaesthetic. The patient subsequently underwent laparoscopic hernia repair and had an uncomplicated recovery. When conducted safely and with precision in an appropriate patient, percutaneous needle caecostomy can provide immediate symptom relief, reduce risk of caecal perforation, and allow a laparoscopic surgical approach. |
| format | Article |
| id | doaj-art-6995f9c1842244edaab3ec7a77a22649 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-6995f9c1842244edaab3ec7a77a226492025-02-03T05:50:34ZengWileyCase Reports in Surgery2090-69002090-69192017-01-01201710.1155/2017/10907691090769Percutaneous Emergency Needle Caecostomy for Prevention of Caecal PerforationAlexandra M. Limmer0Zackariah Clement1Department of Surgery, Liverpool Hospital, Liverpool, NSW 2170, AustraliaDepartment of Surgery, Liverpool Hospital, Liverpool, NSW 2170, AustraliaCaecal perforation is a life-threatening complication of large bowel obstruction with a reported mortality of 34% to 72%. This case describes the novel use of percutaneous needle caecostomy as a life-saving measure to prevent imminent caecal perforation in a 68-year-old lady with large bowel obstruction secondary to an incarcerated incisional hernia. After careful review of computed tomography images and measurement of distances from the abdominal wall to the caecum, the patient’s caecum was decompressed in the emergency department using a needle under local anaesthetic. The patient subsequently underwent laparoscopic hernia repair and had an uncomplicated recovery. When conducted safely and with precision in an appropriate patient, percutaneous needle caecostomy can provide immediate symptom relief, reduce risk of caecal perforation, and allow a laparoscopic surgical approach.http://dx.doi.org/10.1155/2017/1090769 |
| spellingShingle | Alexandra M. Limmer Zackariah Clement Percutaneous Emergency Needle Caecostomy for Prevention of Caecal Perforation Case Reports in Surgery |
| title | Percutaneous Emergency Needle Caecostomy for Prevention of Caecal Perforation |
| title_full | Percutaneous Emergency Needle Caecostomy for Prevention of Caecal Perforation |
| title_fullStr | Percutaneous Emergency Needle Caecostomy for Prevention of Caecal Perforation |
| title_full_unstemmed | Percutaneous Emergency Needle Caecostomy for Prevention of Caecal Perforation |
| title_short | Percutaneous Emergency Needle Caecostomy for Prevention of Caecal Perforation |
| title_sort | percutaneous emergency needle caecostomy for prevention of caecal perforation |
| url | http://dx.doi.org/10.1155/2017/1090769 |
| work_keys_str_mv | AT alexandramlimmer percutaneousemergencyneedlecaecostomyforpreventionofcaecalperforation AT zackariahclement percutaneousemergencyneedlecaecostomyforpreventionofcaecalperforation |