Rare Case of Cecal Volvulus Presenting as Intestinal Obstruction

Abstract

Cecal volvulus is a rare cause of large bowel obstruction. It is responsible for 1% of all adult intestinal Obstructions. It develops due to an abnormal mobility of the ileocecal loop because lacking attachment to ascending colon. We present the case of a 70-yearold female who presented to our surgical department with symptoms of intestinal obstruction. Various radiological investigations supported the diagnosis of sub-acute intestinal obstruction. She was subsequently managed by an exploratory laparotomy. During laparotomy, findings revealed a hugely dilated bowel loop with serosal tears. There was a twist of dilated cecum and ascending colon on its mesentery. The twist in the mesentery was released and serosal tears repaired. Cecopexy with extraction of faecolith performed. The postoperative course was uncomplicated so patient was discharged after 7 days. A physician should be aware of presence of this and subsequent management options so that clinical outcomes are improved.