Simultaneous Volvulus of the Caecum and Sigmoid: Case Report

Abstract

Volvulus of the colon is a frequent cause of colonic occlusion, it can sit along the colonic frame when it is abnormally mobile. Sigmoid volvulus is the most common, followed by cecum, transverse colon, and left colic angle. The mechanism of volvulus is torsion or rocking. The clinical picture is nonspecific, most often with an association of abdominal pain, cessation of matter and gas, and meteorism. The reference complementary examination is currently the abdominopelvic scanner, which makes it possible to make the diagnosis and to look for possible complications. Emergency surgical management is the rule in the event of clinical and radiological severity criteria. It is exceptional to encounter two volvulated colonic segments in the same patient. In our study, we describe the case of a patient who presents to the emergency room for acute abdominal pain with cessation of matter and gas, an abdominal pelvic CT scan done in emergency found a volvulus of the sigmoid. His emergency management after failed endoscopy revealed simultaneous volvulus of the sigmoid and cecum. The extremely rare nature of this epiphenomenon leads us to discuss the causes, the clinical modalities and the management of this pathology.