Abstract
BackgroundCecal volvulus is an uncommon cause of acute abdomen in patients. Cecal volvulus is currently treated mostly with right hemicolectomy with laparotomy, which is an invasive surgical procedure. Less invasive techniques, such as endoscopic decompression, have a poor success rate.Case presentationWe report a case of cecal volvulus in a 35-year-old male patient. He was successfully treated with single-site laparoscopic decompression by inserting a catheter through the amputated appendix, detorsion, and hemicolectomy. This approach was less invasive than the traditional approach and resulted in satisfactory outcomes and cosmesis.ConclusionsApplication of single-site laparoscopic colectomy to acute cecal volvulus is feasible using decompression of the dilated colon by inserting a catheter through the amputated appendix. To the best of our knowledge, this is the first report of this treatment.
Highlights
Cecal volvulus is an uncommon cause of acute abdomen in patients
We report here a case of a patient with cecal volvulus who was successfully treated with singlesite laparoscopic decompression by inserting a catheter through the amputated appendix, detorsion, and right hemicolectomy
Clinical presentation of acute cecal volvulus is related to features of proximal large bowel obstruction
Summary
This is the first report of single-site laparoscopic right hemicolectomy that was adapted for acute cecal volvulus. If decompression is performed by catheterization of the cecum through the appendix followed by laparoscopic mobilization of the appendix, single-site laparoscopic colectomy can be safely and securely performed for acute cecal volvulus. Takemasa I, Uemura M, Nishimura J, Mizushima T, Yamamoto H, Ikeda M, et al Feasibility of single-site laparoscopic colectomy with complete mesocolic excision for colon cancer: a prospective case–control comparison. Competing interests The authors declare that they have no competing interests. Authors’ contributions YK contributed to writing the manuscript. All authors read and approved the final manuscript. Consent for publication Patient consent for publication of images has been given in writing
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