Caecal volvulus: presentation of 18 cases and review of literature

Ruíz-Tóvar, Jaime; García, Purificación Calero; Castiñeiras, Vicente Morales; Molina, E. Martínez

doi:10.1016/s2173-5077(09)70124-3

Cited by 11 publications

(31 citation statements)

References 8 publications

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“…Cecal volvulus is the result of abnormal mobility of the cecum caused by developmental improper fusion of cecal mesentery with the posterior parietal peritoneum [1]. In the young age group, the volvulus was caused by postsurgical adherences, congenital malformations, Hirshsprung's disease, or pregnancy [4]. Cecal volvulus usually develops in younger patients and more often in women [5].…”

Section: Discussionmentioning

confidence: 99%

Gangrenous Cecal Volvulus; A Case Report and Review of Literature

Sendromu¹,

Miksoma²,

Özen³

et al. 2016

Ann Clin Anal Med

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ÖzetÇekal volvulus akut intestinal obstrüksiyonun nadir bir sebebi olarak, çekum ve terminal ileumun kendi mezenterleri etrafında ve aksial planda bükülmesidir. Çe-kal volvulus derhal laparotomi gerektiren acil cerrahi bir durumdur. Hastanın genel durumuna bağlı olmak kaydı ile rezeksiyon ve anastomoz önerilen tedavi seçe-neğidir. Bu yazıda, karın ağrısı ve distansiyon şikayeti ile başvuran gangrenöz çe-kum volvolusu tanısı konan ileri düzeyde mental retarde 45 yaşında bayan hasta sunulmuştur. Anahtar KelimelerVolvulus; Çekum; İntestinal Obstrüksiyon; Karın Ağrısı AbstractCecal volvulus as an uncommon cause of acute intestinal obstruction is to axial twist of the cecum and terminal ileum around their mesentery. Cecal volvulus is a surgical emergency requiring urgent laparotomy. Resection and anastomosis is the proposed choice of the operation depending on the general condition of the patient. In this paper, we report a case of gangrenous cecal volvulus seen in a severely mentally retarded 45-year-old woman who presented with abdominal pain and distension.

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Section: Discussionmentioning

confidence: 99%

Gangrenous Cecal Volvulus; A Case Report and Review of Literature

Sendromu¹,

Miksoma²,

Özen³

et al. 2016

Ann Clin Anal Med

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“…This is especially the case in posttraumatic hernias, which commonly have an acute presentation, (10,13) with respiratory distress and multiple visceral herniation. The stomach is the most commonly implicated organ, although involvement of the spleen, small intestine, large intestine and omentum has also been reported.…”

Section: Discussionmentioning

confidence: 99%

“…In the vast majority of cases, repair is successfully accomplished using either interrupted or continuous nonabsorbable sutures. The use of a mesh has been reported in a few cases, (10) where the defect proved too large for primary closure; the use of a tension-free mesh was vital to the success of the procedure in those cases. In the immediate postoperative period, monitoring for signs of respiratory distress is important.…”

Section: Discussionmentioning

confidence: 99%

“…(5) Patients who are not diagnosed may present weeks or years later with herniation through the defect. (6)(7)(8)(9)(10) On rare occasions, some of these patients (typically those who had antecedent blunt abdominal trauma) present with bowel obstruction. The defect, which is commonly left-sided and rarely bilateral, is usually repaired via an abdominal approach, (10) although thoracic, abdominothoracic and laparoscopic approaches have been successfully attempted in select situations.…”

Section: Introductionmentioning

confidence: 99%

“…(6)(7)(8)(9)(10) On rare occasions, some of these patients (typically those who had antecedent blunt abdominal trauma) present with bowel obstruction. The defect, which is commonly left-sided and rarely bilateral, is usually repaired via an abdominal approach, (10) although thoracic, abdominothoracic and laparoscopic approaches have been successfully attempted in select situations. (5,11) Recent reports indicate that the laparoscopic approach has been gaining popularity.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Large bowel obstruction complicating a posttraumatic diaphragmatic hernia

Bhatti

Dawani²

2015

smedj

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Cecal Volvulus

2012

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A twisted loop of the bowel and its mesentery on a fixed point is known as volvulus and it may arise more frequently in the sigmoid colon and cecum. Cecal volvulus as an uncommon cause of acute intestinal obstruction is axial twist of the cecum, ascending colon and terminal ileum around their mesenteric pedicles. Although there are many different etiologic and predisposing factors for cecal volvulus, exact etiology is most likely multifactorial in presence of mobile cecum. Its clinical presentation is highly variable, ranging from intermittent episodes of abdominal pain to abdominal catastrophe depending on pattern, severity and duration of cecal volvulus causing intestinal obstruction. Due to its rarity and nonspecific presentation, preoperative diagnosis is rarely achieved in most cases. Abdominal radiographs as an initial diagnostic test are usually abnormal and can detect cecal volvulus in half of cases. Nowadays, computerized tomography is used for more accurate diagnosis and differentiation from other acute emergent conditions. Resection with right hemicolectomy and primary ileocolic anastomosis has been recommended for surgical treatment of cecal volvulus.

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Caecal volvulus: presentation of 18 cases and review of literature

Cited by 11 publications

References 8 publications

Gangrenous Cecal Volvulus; A Case Report and Review of Literature

Gangrenous Cecal Volvulus; A Case Report and Review of Literature

Large bowel obstruction complicating a posttraumatic diaphragmatic hernia

Cecal Volvulus

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