Caecal Volvulus

Abstract

Colonic volvulus is the third leading cause of large bowel obstruction. About 35% of these are located in the caecum. Though, relatively, a rare cause of obstruction, the incidence of caecal volvulus is steadily increasing at a rate of about 5% per year. Mortality due to caecal volvulus may be as high as 40% especially in the presence of gangrene and sepsis. Clinical presentation may be acute and fulminant or as a mobile caecum syndrome with intermittent abdominal pain. "Whirl," "Coffee bean," and "bird beak" signs seen on computed tomography are pathognomonic. Colectomy is the preferred treatment as it obviates any chance of recurrence. A conservative approach to colectomy such as limited ileocaecal resection and ileostomy formation in critically ill patients or in those with poor physiological reserve may be associated with better postoperative outcomes.

Morbidity and Mortality of Acute Mechanical Intestinal Obstruction in the General Surgery Department of the Ignace Deen National Hospital in Conakry

“…The male predominance in our study was comparable to that of Kaboré RAF et al [8] who reported a sex ratio of 2.9. On the other hand, our results were superior to those of Kambiré JL et al [5] at the Ouahigouya regional university hospital in Burkina Faso and Haridimos M et al [14] at the University of technology teaching hospital in Nigeria who found a sex ratio of 1.8 and 1.1. Our results were lower than those of Harouna Y et al [7] at Zinder National Hospital in Niger who found a sex ratio of 5.2.…”

“…Small bowel obstructions were more frequent compared to colonic occlusions in our study. Our results were superior to those of Shimou I et al [9] in Morocco who reported a rate of 54.36%, but were comparable to those of Haridimos M et al [14] in Nigeria who noted 76% of cases of hail occlusions versus 24% of colonic occlusions. The loop was viable in most cases in our study, as found by Harissou A et al [1] which recorded 69.6% of cases.…”

Cecal volvulus with acute appendicitis in a 33-year-old male managed by manual detorsion, cecopexy, and appendectomy: A case report

“…Cecal volvulus can occur due to other factors such as intestinal bands/adhesions, tumor, pregnancy, long mesentery, abdominal or pelvic mass, abdominal injury, large bowel obstruction, psychological disorders, sedentary lifestyle, mega-colon, and chronic constipation [ 7 ].…”

“…The CT scan may show signs of ischemia or gut perforation, such as pneumoatosis intestinalis or pneumoperitoneum [ 7 ].…”

Cecal Volvulus: A Report of a Challenging Case

“…Definitive treatment should be sought as soon as the patient has been adequately resuscitated, Initial management entails conservative measures such as analgesia, antiemetics, intravenous fluids, having the patient stop any oral intake, insertion of a nasogastric tube to facilitate proximal bowel decompression, and insertion of a urinary catheter to monitor fluid input/output [ 13 ].…”