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  Vol. 112 No. 10, October 1977 TABLE OF CONTENTS
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Diastatic Perforation of the Cecum Without Distal Obstruction

Case Report and Review of the Literature

Quentin Macmanus, MD; William W. Krippaehne, MD

Arch Surg. 1977;112(10):1227-1230.


Abstract

• We present the first reported case to our knowledge of diastatic rupture of the normal cecum following cardiac surgery. All other reported cases of diastatic rupture of the cecum are reviewed. Nasotracheal intubation, hypoxemia, and enemas are thought to contribute to this complication. Prophylactic cecostomy for cecal diameters greater than 9 cm is recommended. Cecostomy and drainage are generally the treatment of choice should perforation occur.

(Arch Surg 112:1227-1230, 1977)



Author Affiliations

From the Department of Surgery, University of Oregon Health Sciences Center, Portland.


Footnotes

Accepted for publication May 25, 1977.

Reprint requests to University of Oregon Health Sciences Center, Sam Jackson Park Rd, Portland, OR 97201 (Dr Macmanus).



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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Colonic Ileus: Indication for Prompt Decompression
Baker et al.
JAMA 1979;241:2633-2634.
ABSTRACT  





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