Caecal volvulus: a rare complication following a routine laparoscopic appendicectomy

Parkin, Cameron James; Buxey, Kenneth; Goldsmith, Timothy H.; Rajasagaram, Niruben

doi:10.1111/ans.14480

Cited by 3 publications

(4 citation statements)

References 2 publications

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“…In a similar case presented by Parkin et al, 2 a 21-year-old female also underwent routine appendectomy for appendicitis. To allow sufficient mobilization of the appendix, congenital adhesions were identified and divided from the terminal ileum to the appendix and from the cecum to the lateral abdominal wall.…”

mentioning

confidence: 76%

“…The reported case presents a rare complication following routine operative intervention. There have been several reported cases 1,2 of cecal volvulus following laparoscopic appendectomy. In the case presented by McIntosh et al, 1 a 33-year-old patient underwent laparoscopic appendectomy in which Ladd’s bands were divided to allow for cecal mobilization and proper visualization of the appendix.…”

mentioning

confidence: 99%

“…Cecal volvulus can be a rare and challenging diagnosis. 1,2 Despite being more common in other regions of the world, colonic volvulus makes up only approximately 4% of all large bowel obstructions in the United States. 3 A true cecal volvulus results from an axial rotation of the terminal ileum, cecum, and proximal right colon along its mesentery.…”

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confidence: 99%

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Post-operative Cecal Volvulus After Extensive Mobilization of the Right Colon During Laparoscopic Appendectomy

Saladziute

García

Fortgang

2022

The American Surgeon

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Cecal volvulus can be a rare and challenging diagnosis. We report a 47-year-old female who presented to the hospital and was diagnosed with acute appendicitis based on workup and clinical exam. The patient underwent laparoscopic appendectomy where the appendix was localized after extensive ascending colon mobilization. The patient’s post-operative course was complicated by cecal volvulus requiring a right hemicolectomy. There have been several other reported cases of cecal volvulus following laparoscopic appendectomy, both of which also involved considerable cecal mobilization. More data are necessary to determine whether this clinical course could have been prevented with more limited mobilization or with cecopexy at initial surgery. A mobilized cecum may benefit from early surgical intervention to prevent future volvulus or a chronic mobile cecum syndrome. Cecal volvulus should be considered in the case of worsening abdominal pain or obstruction following laparoscopic appendectomy, given the consequences that can result if symptoms are overlooked.

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confidence: 76%

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confidence: 99%

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Post-operative Cecal Volvulus After Extensive Mobilization of the Right Colon During Laparoscopic Appendectomy

Saladziute

García

Fortgang

2022

The American Surgeon

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“…Sigmoid volvulus mainly affects elderly men and cecal volvulus, female between the third and fourth decades of life, with an incidence of 2%. 1 Cecal volvulus is characterized by a rotation enteroaxial, compromising the mesentery and main blood vessels. 2…”

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confidence: 99%