Coecum mobile. Literature review and clinical observation

Abstract

Relevance. Anomalies of the position and attachment of the colon in the abdominal cavity includes a large number of options. In some cases, the pathology is not limited exclusively to the mobility of the cecum, but is combined with a violation of the fixation of the ascending colon, the absence of attachment of the hepatic and splenic angles, omission of the right half of the colon or total colonoptosis.Results. There is surgical pathology associated with abnormal position and attachment of the circumferential intestine in the abdomen and a case of abnormal position dependency and an anomaly of the attachment of the right side of the circumferential intestine, depending on body type, which have certain clinical manifestations. Clinical manifestations of this pathology, methods of diagnosis and treatment with favorable results are described in the article. Also own surgical treatment methods depending on the anatomical variant of the pathology are presented in the article.Conclusion. The anatomical restoration of the correct position of the intestine in the abdominal cavity is operative. The proposed operation is performed taking into account the anomaly variant.

Keywords

• fixation anomaly
• coecum mobile
• angle of the liver
• pararectal access
• abdominal fixation
• barium promotion