Active cecum syndrome
Introduction
Introduction to active cecal syndrome Under physiological conditions, the cecum has peritoneal coverage on all sides, but 5% of people have no peritoneal coverage behind the upper part of the cecum, and have an underdeveloped mesangium, so there is a certain degree of mobility, but its range of activity should not exceed 6cm, however, if the right mesentery and the lateral peritoneum fail to fuse in the embryonic period, the activity of the cecum and ascending colon can be greatly enhanced, even if it is still in the normal lower right anatomical position, but can occur due to abnormal activity. A series of symptoms of partial bowel obstruction, called the active cecal syndrome (hyperkineticcecumsyndrome), are reversed, displaced, and sometimes even above the midline to the left. basic knowledge Sickness ratio: 0.05% Susceptible people: no specific population Mode of infection: non-infectious Complications: incomplete intestinal obstruction, diarrhea
Cause
Causes of active cecal syndrome
Cause:
Due to congenital causes, during the embryonic development, the right mesorectum and the lateral peritoneum fail to fuse, resulting in abnormally enhanced activity in the cecum and ascending colon.
Prevention
Active cecal syndrome prevention
1. Adjust daily life and workload, and regularly carry out activities and exercise to avoid fatigue.
2. Maintain emotional stability and avoid emotional excitement and tension.
3. Keep the stool smooth, avoid using stools, eat more fruits and high-fiber foods.
Complication
Complications of active cecal syndrome Complications incomplete intestinal obstruction diarrhea
Severe cases may have clinical manifestations of pseudo-incomplete intestinal obstruction, and a small number of patients may have increased diarrhea after taking laxatives.
Symptom
Activity cecal syndrome symptoms common symptoms constipation diarrhea abdominal pain
The patient's symptoms can be significantly relieved after defecation or deflation. This is one of the important features of this disease, so it is a valuable diagnostic clue. The diagnosis of the intrinsic is mainly based on barium enema. Individual patients can only be operated on the surgery. The activity of the cecum can be discovered.
Patients often have right lower quadrant spasm pain, intermittent episodes, some can be radiated to the right lower back, and even the upper abdomen also appears pain, and there are diarrhea or constipation, or alternate, severe cases may have pseudo incomplete intestinal obstruction Clinical manifestations, a small number of patients can increase diarrhea after taking laxatives.
Examine
Examination of active cecal syndrome
(1) Barium enema angiography: It can show abnormal increase or even shift of blind sputum activity.
(B) fiber colonoscopy: help to find cecal torsion or intestinal obstruction and other performance to help diagnose.
Diagnosis
Diagnosis and identification of active cecal syndrome
diagnosis
Patients often have right lower quadrant spasm pain, intermittent episodes, some can be radiated to the right lower back, and even the upper abdomen also appears pain, and there are diarrhea or constipation, or alternate, severe cases may have pseudo incomplete intestinal obstruction Clinical manifestations, a small number of patients can increase diarrhea after taking laxatives.
Differential diagnosis
Different from other abdominal diseases.
