Abstract
Cecal volvulus is an uncommon cause of acute bowel obstruction in adults. The mechanism is torsion of the enlarged, poorly-fixed or hypermobile cecum. Patients with this condition may display highly variable clinical presentations, ranging from intermittent, self-limiting abdominal discomfort to acute abdominal pain associated with intestinal strangulation and sepsis. The treatment needs to be individualized for each case, but surgical management is required in almost every case. In the presence of gangrene or perforation of the cecum, resection and primary ileocolic anastomosis is recommended. However, in non-complicated cases detorsion and cecopexy are adequate. The authors report one case of cecal volvulus in a 55-year-old women treated with cecopexy that complicated with septic jaundice.
Highlights
The cecal volvulus is uncommon in western adults[1] and results from a twist of this colonic segment over its mesentery, causing intestinal obstruction and strangulation
Cecal volvulus is an uncommon cause of acute bowel obstruction in adults
The mechanism is torsion of the enlarged, poorly-fixed or hypermobile cecum. Patients with this condition may display highly variable clinical presentations, ranging from intermittent, selflimiting abdominal discomfort to acute abdominal pain associated with intestinal strangulation and sepsis
Summary
The cecal volvulus is uncommon in western adults[1] and results from a twist of this colonic segment over its mesentery, causing intestinal obstruction and strangulation. It presents with variable forms of intestinal obstruction and its treatment is often individualized, the patient’s condition and perioperative cecal viability being taken into account. We report a case of intestinal obstruction due to cecal volvulus treated with cecopexia and complicated with septic jaundice
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