In our case, laparoscopic partial cecum resection was perfomed, preserving the ileocecal valve
, as appendix reduction was not possible.
First, I will make sure to screen them for hiatal hernia and hiatal hernia syndrome (for more detail see chapter 12 of my textbook--second edition) and ileocecal valve
syndrome (for more detail see chapter 15 of my second edition).
In patients with PCN, only a limited resection of the necrotic area can be safely performed by preserving the ileocecal valve
Colonoscopic extraction of a foreign body from the ileocecal valve
. Endoscopy Around the world 1989; 35(3): 275
The medical team requested upper digestive endoscopy (Figure 1) and colonoscopy (Figure 2), which verified the presence of ulcer with irregular and raised edges, fibrinonecrotic base, measuring approximately 3 cm in the middle third of the esophagus and 30 cm from the incisors and the mild antrum gastritis, and swollen, irregular, and fibrinous ulcers in the ileocecal valve
, descending colon, and all other segments.
In this study, atrophy of the ileocecal valve
and villous atrophy were frequent endoscopic findings with high specificity and positive predictive value.
Figure 3 represents an image taken at colonoscopy which reveals an enlarged and exophytic friable mass (yellow arrow) occupying most of the cecal circumference at the level of the ileocecal valve
During exploration, he was found to have an obstruction with a clear transition three feet proximal to ileocecal valve
. Closer inspection revealed an intraluminal mass associated with the point of obstruction.
Intestinal preparation was duly performed and there was complete visualization of the colon up to the ileocecal valve
A 2.0 cm polypoid, nonobstructing, ulcerated lesion was seen just inside the ileocecal valve
Typical colonoscopy features described in patients with ITB are transverse or linear ulcers, nodules, a deformed ileocecal valve
and cecum, presence of inflammatory polyps, and multiple fibrous bands arranged in a haphazard fashion.[sup],, In this study, ulcers were detected in 61 cases.
The intraoperative exploration confirmed the diagnostic with multiple distended bowel loops due to ileo-ileal intussusception 30cm from ileocecal valve