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Active cecum syndrome

　　Under normal physiological conditions, all surfaces of the cecum are covered by peritoneum, but 5% of people may not have peritoneal coverage on the posterior aspect of the superior segment of the cecum, and they have underdeveloped mesentery, so there is a certain degree of mobility, but the range of movement should not exceed 6cm. However, if the right colon mesentery and lateral peritoneum fail to fuse during embryonic development, it can lead to greatly enhanced mobility of the cecum and ascending colon. Even though they are still in the normal right lower anatomical position, they can twist and displace due to abnormal activity, sometimes even crossing the median to the left, leading to a series of symptoms of partial intestinal obstruction, known as active cecum syndrome (hyperkinetic cecum syndrome).

Table of Contents: 1. What are the causes of active cecum syndrome
2. What complications are likely to be caused by active cecum syndrome
3. What are the typical symptoms of active cecum syndrome
4. How to prevent active cecum syndrome
5. What kind of laboratory tests should be performed for active cecum syndrome
6. Dietary taboos for patients with active cecum syndrome
7. Routine methods of Western medicine for the treatment of active cecum syndrome

1. What are the causes of active cecum syndrome

　　It is caused by congenital factors. During embryonic development, the right colon mesentery and lateral peritoneum failed to fuse, resulting in abnormal hyperkinetic activity of the cecum and ascending colon. The symptoms of patients can be significantly relieved after defecation or flatus, which is one of the important characteristics of the disease and a valuable diagnostic clue. The diagnosis of this condition mainly relies on barium enema examination, and some patients may only be found to have active cecum during surgery.

2. What complications are likely to be caused by active cecum syndrome

　　Severe cases may present with clinical manifestations of pseudo-incomplete intestinal obstruction, and a few patients may experience exacerbated diarrhea after taking laxatives. If diarrhea is not corrected in a timely manner, it can lead to metabolic acidosis due to the loss of a large amount of electrolytes and alkaline fluids, as well as electrolyte disorder, especially hypokalemia, which can directly inhibit myocardial function. Severe hypokalemia can directly cause cardiac arrest.

3. What are the typical symptoms of active cecum syndrome

　　1, The symptoms of the patient can be significantly relieved after defecation or flatus, which is one of the important characteristics of this disease, so it is a very valuable diagnostic clue. The diagnosis of this syndrome mainly depends on barium enema examination, and some patients may only find the activity of the cecum during surgery.

　　2, Most patients have spasmodic pain in the lower right abdomen, which can occur intermittently, some can radiate to the right腰部, even to the upper abdomen, and there may be diarrhea or constipation, or alternating, severe cases may appear pseudo-incomplete intestinal obstruction symptoms, a few patients may worsen diarrhea after taking laxatives.

4. How to prevent active cecal syndrome

　　It is caused by congenital factors. During embryonic development, the right colon mesentery and parietal peritoneum failed to fuse, causing the cecum and ascending colon to have abnormal enhanced activity. It cannot be prevented. This disease severely affects the patient's daily life, so it should be actively prevented.

5. What laboratory tests need to be done for active cecal syndrome

　　1, Barium Enema Examination:It can show that the activity of the cecum is abnormally enhanced or even displaced.

　　2, Fiberoptic Colonoscopy:Helps to detect signs of cecal volvulus or intestinal obstruction, etc., to assist in diagnosis.

6. Dietary taboos for patients with active cecal syndrome

　　1, Fengliu Gastrointestinal康片 regulates Qi, strengthens the stomach, removes dampness and relieves stagnation. Used for acute gastroenteritis due to poor middle Qi, Qi stagnation, and dampness;

　　2, Enteral Peace Syrup clears heat and promotes diuresis, regulates Qi. Used for diarrhea and abdominal pain due to damp-heat in the large intestine;

　　3, Detoxification and Antidiarrheal Capsules: Miao Medicine: Traditional Chinese Medicine: clears heat and detoxifies, promotes diuresis and stops diarrhea. Used for diarrhea and abdominal distension due to damp-heat in the gastrointestinal tract;

　　4, Lümei Zhalie Granules promotes digestion, relieves stagnation, and stops diarrhea. Used for diarrhea, abdominal distension, and poor digestion.

　　5, Chang Tai Heji Mixture invigorates the spleen and stomach, promotes digestion and harmonizes the stomach. Used for fatigue, apathy, and weakness due to deficiency of the spleen and stomach qi.

7. Conventional Methods of Western Medicine for Treating Active Cecal Syndrome

　　In 1948, Dixon and Meyer first used a parietal peritoneal flap to perform cecopexy. The method is to make an incision on the lateral wall of the abdominal cavity, form a pedicle-free flap, and then use a ball to further free the cecum and ascending colon at the location of the mesentery. Then cover and fix the pedicle-free peritoneal flap on the anterior wall of the cecum and ascending colon, and place part of the cecum and ascending colon behind the peritoneum.

Recommend: Pelvic Rectal Abscess , Anal foreign body sensation , Functional fecal incontinence , Mixed tubular acidosis , Heroin kidney disease , Prolapse syndrome of perineum

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