Cecal volvulus: Case report and review of literature

Sedik, Alaa; Bar, Emad Abdel; Ismail, Mohamed

doi:10.4103/2320-3846.175211

Cited by 5 publications

(6 citation statements)

References 2 publications

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“…Radiologic imaging may be abnormal and detect CV in 45-56% of the cases. 1 Plain abdominal x-ray is highly sensitive for the diagnosis of CV with the characteristic "coffee bean" sign deformity, its apex pointing to the left upper quadrant; 9 which was also seen in our patient. Other findings commonly seen are cecal dilatation (98−100%), single air-fluid level (72-88%), small bowel dilatation (42-55%), and absence of gas in the distal colon (82%).…”

Section: Discussionsupporting

confidence: 69%

“…6 Other well documented predisposing factors for CV are long-standing constipation, distal obstruction, previous abdominal surgeries, intraabdominal masses, being bedridden, and undergoing colonoscopy procedures. 1,7 When it occurs in the younger populations its more commonly caused by post-OP adhesions, pregnancy, or aganganglionic megacolon [7][8][9] Reports have shown that there is no sex predilection and the mean age of incidence is 61.8 years. 6 Our patient is young and did not have any of the abovementioned predisposing factors.…”

Section: Discussionmentioning

confidence: 99%

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Cecal Volvulus: A Case Report and Review of the Literature

Yohannes¹,

Muleta²

2021

OAS

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Background: Cecal volvulus is a rare cause of adult intestinal obstruction occurring 2.8-7.1 persons per million per year. Its rarity and the variety of clinical symptoms may lead to a delay in the diagnosis and appropriate intervention. Case Presentation: Here, we present a 25-year old female patient from a rural area who presented with a 3-day history of colicky abdominal pain and vomiting of bilious intestinal content; she had also developed abdominal distension, failed to pass feces, and flatus. She underwent emergency laparotomy, where the intraoperative finding was a perforated 360 degrees counterclockwise volvulated cecum, and a right hemicolectomy was performed with primary ileotransverse anastomosis. Discussion: Cecal volvulus is the axial rotation of the cecum, ascending colon, and terminal ileum. This can result either in complete or partial obstruction of the affected segment of the intestine with impending vascular compromise and gangrene, which mandates a timely diagnosis and intervention. Conclusion: Cecal volvulus is a rare cause of adult intestinal obstruction, and urgent surgical intervention saves the life of patients.

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Section: Discussionsupporting

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Cecal Volvulus: A Case Report and Review of the Literature

Yohannes¹,

Muleta²

2021

OAS

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“…Laboratory investigations are not sufficiently helpful in cases of cecal volvulus [6]. By contrast, radiographic imaging, including abdominal radiography and CT, could confirm the diagnosis in up to 90% of volvulus cases [7].…”

Section: Discussionmentioning

confidence: 97%

Cecal Volvulus Post Cesarean Section: A Case Report

Basendowah

Alabdulqader

Abdulqader

et al. 2020

Cureus

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Cecal volvulus is a very rare cause of large bowel obstruction (LBO) that develops when a part of the bowel twists around the mesentery. Cases of acute abdomen, regardless of age, race, and ethnicity, should be examined to exclude volvulus from differential diagnoses. Surgery is the only confirmatory method to diagnose and treat this life-threatening condition. Here, we report a case of a 35-year-old female patient who presented with abdominal pain, distension, constipation, and vomiting. Abdominal computed tomography (CT) aided in accurately diagnosing the cecal volvulus, and the patient immediately underwent an exploratory laparotomy.

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“…Il demeure un sujet de controverse. L'hémicolectomie droite avec anastomose pri-maire est recommandée par plusieurs équipes même en absence de nécrose colique car elle supprime le risque de récidive [ 12 - 15 ]. La cæcostomie est efficace pour la prévention des récidives mais comporte un risque élevé d'infection de paroi et expose au risque de fistule digestive nécessitant une intervention de fermeture.…”

Section: Discussionunclassified

Volvulus du cæcum: une cause rare d’occlusion intestinale: à propos de deux cas

Mazine¹,

Elbouhaddouti²,

Toughraï³

et al. 2017

Pan Afr Med J

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Le Cæcum est, en fréquence, la deuxième partie du colon concernée par le volvulus après le sigmoïde et avant l'angle gauche et le côlon transverse. Cette affection survient sur des cæcums anormalement mobiles. Le mécanisme du volvulus est la torsion ou la bascule. Le tableau clinique est celui d'une occlusion intestinale aiguë par strangulation. L'abdomen sans préparation (ASP) et la TDM abdominale sont les examens radiologique de premier choix pour le diagnostic. Le traitement consiste en une chirurgie en urgence avec résection du cæcum et de l'iléon terminal. Nous rapportons deux cas de volvulus du cæcum admis aux urgences dans un tableau d'occlusion intestinale aiguë, le diagnostic était confirmé chez les deux patients par un scanner abdomino-pelvien et le traitement consistait en une résection iléo-colique avec rétablissement immédiate de continuité, les suites post opératoires étaient simples.

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Cecal volvulus: Case report and review of literature

Cited by 5 publications

References 2 publications

Cecal Volvulus: A Case Report and Review of the Literature

Cecal Volvulus: A Case Report and Review of the Literature

Cecal Volvulus Post Cesarean Section: A Case Report

Volvulus du cæcum: une cause rare d’occlusion intestinale: à propos de deux cas

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