Volvulus of the Cecum

Dixon, Claude F.; Meyer, Alfred

doi:10.1016/s0039-6109(16)32484-7

Cited by 35 publications

(10 citation statements)

References 13 publications

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“…Caecopexy is the surgical repair of mobile caecum, which was first described by Dixon and Meyers in 1948 . In the modern surgery era, the procedure is performed laparoscopically, with safer and faster postoperative recovery, better outcomes and significantly less incidence of complications.…”

Section: Discussionmentioning

confidence: 99%

Two sisters with a rare cause of infantile colic

Negm

2018

J Paediatrics Child Health

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Introduction Infantile colic is a major parenthood challenge. For medical practitioners, even at the highest specialised levels, the management is never less challenging. This is a case report of two sisters who presented with typical symptoms of infantile colic. However, after a lengthy journey of workups, they were found to have a rare cause of those symptoms, requiring surgical repair. Presenting history A female baby born at term was initially diagnosed to have infantile colic. As the symptoms did not improve at the age of 3 months, she was referred to a paediatrician who switched her formula based on a provisional diagnosis of cows milk protein intolerance. With no relief of the baby's symptoms, this diagnosis was ruled out. Empirical treatment of gastro‐oesophageal reflux was attempted. After the failure of this attempt, it was decided that the child's condition needs to be thoroughly investigated. Progress Over 6 years, comprehensive investigations and relevant referrals at a tertiary paediatric gastroenterology centre have not helped to establish a definitive diagnosis or aetiology of the colic. Dietary modifications and various empirical medications have failed to cure the episodes, which exhausted the family, waking them up 10–20 times every night, leading to poor school attendance. Treatment A suggestion during a multidisciplinary meeting made a turning point. Definitive diagnosis and repair were established via laparoscopic surgery. Follow‐up The child fully recovered following the surgical repair. Her sister, who was born with the same condition, was fortunate to be diagnosed and cured at a younger age.

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Section: Discussionmentioning

confidence: 99%

Two sisters with a rare cause of infantile colic

Negm

2018

J Paediatrics Child Health

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“…Cecopexy, using lateral peritoneal flap, which was first described by Dixon and Meyers in 1948 [6], best achieves fixation of the mobile cecum. It is said to be the surgery of choice for the mobile cecum which is an easy and quick procedure also reduces chances of recurrence of intussusception.…”

Section: Discussionmentioning

confidence: 99%

Migrating Lump in Abdomen—Ileo-Colo-Colic Intussusception Up to the Rectum with Hypermobile Caecum and Ascending Colon

Patil¹,

Khachane²,

Bharambe³

2017

OJPed

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In pediatric age group, Intussusception is the most common cause of acute intestinal obstruction. They present with the classic clinical triad of colicky abdominal pain, vomiting and bloody stools. But clinically very few patients (20%) present with this classical symptoms. This article highlights an importance of suspecting intussusception by physician and rare presentations of intussusception lump in abdomen in a child with abdominal pain, gastrointestinal symptoms. Here a case reported of 16-year-old male child who presented with migrating lump in abdomen on and off with varied clinical presentation every time in single admission. Patient underwent laparotomy and manual reduction of intussusception was done. It is advisable to have high suspicion of intussusception while dealing with such cases.

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“…Caecopexy, using lateral peritoneal flap, which was first described by Dixon and Meyers in 1948 [7,8] is said to be the surgical technique of choice. This technique has stood the test of time and best achieves fixation of the caecum.…”

Section: Discussionmentioning

confidence: 99%

“…The caecum and ascending colon are placed under the peritoneal flap and the free edge at the flap is sutured to the taenia coli using interrupted non-absorbable sutures, Dixon and Meyers. [7] The colon is thereby fixed partially to the retroperitoneum. [3,11] …”

Section: Discussionmentioning

confidence: 99%

Mobile caecum and ascending colon syndrome in a Nigerian adult

et al. 2009

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A mobile caecum and ascending colon is a rare congenital abnormality. Its presentation as a cause of right lower abdominal pain in an adult is usually mis-diagnosed as acute appendicitis. A 42-year-old civil servant presented with a 2-year history of recurrent right lower quadrant pain of the abdomen. The pain was sharp in nature and persistent in the last 2 weeks and centered mainly in the right side of the abdomen. No other associated symptoms were noted. Laboratory investigations did not reveal obvious abnormality. A diagnosis of acute on chronic lower quadrant pain of unknown etiology was made. The patient was resuscitated and had exploratory laparatomy. No abnormalities were found other than the caecum and the whole ascending colon, which were unattached to the posterior peritoneum. Appendectomy and caecopexy, using a lateral peritoneal fl ap were performed. The diagnosis of mobile caecal syndrome should be considered in patients with chronic right lower quadrant pain, and appendectomy and caecopexy offers a great relief.Keywords: Adult, ascending colon, mobile caecum, Nigerian Résumé UN caecum mobile et côlon ascendant est une anomalie congénitale rare. Ses présentation comme une cause de douleur abdominale inférieure droite dans un adulte est habituellement mis-Diagnosed comme appendicite aiguë. Un fonctionnaire âgé de 42 an, qui a présenté une histoire de deux ans de douleur récidivante de quadrant inférieur droit de l'abdomen.La douleur a été forte dans la nature et persistante au cours des deux-semaines et centrés principalement dans la partie droite de l'abdomen. Aucun autres symptômes associés ont été a fait remarquer. Enquêtes de laboratoire n'a révélé anomalie évidente. UN diagnostic des aigus sur la douleur chronique de quadrant inférieure d'étiologie inconnue a été établi. Patient a été resuscitated et avait laparatomy exploratoire. Aucune anomalie ne étaient autre que le caecum et le côlon ascendant ensemble, qui ont été trouvés seules pour le péritoine postérieur. Appendectomy et caecopexy, utilisant un volets péritonéale latérale ont été effectuées. Le diagnostic de syndrome de caecal mobile devrait être considérée de patients souffrant de douleur chronique de quadrant inférieure droit et appendectomy et caecopexy offre un grand soulagement.

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Volvulus of the Cecum

Cited by 35 publications

References 13 publications

Two sisters with a rare cause of infantile colic

Two sisters with a rare cause of infantile colic

Migrating Lump in Abdomen—Ileo-Colo-Colic Intussusception Up to the Rectum with Hypermobile Caecum and Ascending Colon

Mobile caecum and ascending colon syndrome in a Nigerian adult

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