Caecal volvulus in an adolescent African male: a case report and brief review of the literature

Mwita, Clifford; Muthoka, Johnstone M; Kanina, Powell; Mulingwa, Phillip

doi:10.11604/pamj.2014.17.92.3946

Cited by 5 publications

(9 citation statements)

References 9 publications

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“…The intraoperative approaches may depend on the individual case, for example, if the bowel is gangrenous; previous reports recommend resection [3]. In the present case, right hemicolectomy with side-to-side anastomosis was performed to prevent recurrence as advised in a previous report [6]. Colonoscopy is not advisable in place of surgery because of the possibility of perforation and delayed surgical management, which may cause complications and increase mortality [8].…”

Section: Discussionmentioning

confidence: 77%

“…Physical examination findings also vary considerably with abdominal tenderness and distension being the most common to the presentation of a mass in the abdomen in some cases [4][5]. 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: 99%

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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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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Cecal Volvulus Post Cesarean Section: A Case Report

Basendowah

Alabdulqader

Abdulqader

et al. 2020

Cureus

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“…Factors that have been implicated in the causation of cecal volvulus include prior abdominal surgeries [ 14 ], late-term pregnancy [ 15 ], high-fiber diet, adynamic ileus, chronic constipation, and distant colon obstruction [ 1 ]. Intra-operative findings support the prerequisite factor of anatomical predisposition including a mobile cecum [ 2 ], with some authors citing cultural and dietary influences on intestinal motility [ 1 , 16 ]. Case reports have noted unique circumstances associated with cecal volvulus occurring through the foramen of Winslow [ 17 ], precipitated by acute appendicitis [ 18 ], following colonoscopy [ 19 ], immediately after cardiac surgery [ 20 ], or the presence of a Meckel’s diverticulum [ 21 ] or uterine leiomyoma [ 22 ].…”

Section: Discussionmentioning

confidence: 84%

“…There is a paucity of data from the African continent of this condition, limited predominately to case reports [ 2 , 3 ]. Despite reports of the relatively higher prevalence of sigmoid volvulus in East Africa [ 4 , 5 ], there is limited data concerning cecal volvulus.…”

Section: Introductionmentioning

confidence: 99%

Cecal volvulus in rural Kenya: delayed presentation contributes to high mortality

Sylvester

Ooko²,

Mwachiro

et al. 2021

BMC Surg

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Background Cecal volvulus, which is a torsion involving the cecum, terminal ileum, and ascending colon around its own mesentery, results in a closed-loop obstruction. It is a rare reported cause of adult intestinal obstruction. This study aimed to review the clinical presentation, management, and outcomes at a rural, resource-limited referral center. Methods We performed a retrospective review of all patients with a diagnosis of cecal volvulus between January 1st, 2009 and December 31st, 2019 at Tenwek Hospital in Bomet, Kenya. The outcome of survival was compared by the time to presentation. Mortality was also compared with prior reports of intestinal obstruction at our institution. Results Thirteen patients were identified with a mean age of 52 years and a mean symptom duration of 5 days. All patients presented with abdominal pain and distension. Seven patients (54%) presented with perforation, gangrene, or gross peritoneal contamination. Identified risk factors were Ladds bands with malrotation, adhesions, and a sigmoid tumor. Procedures included primary resection and anastomosis (7), damage control (3) with anastomosis on second-look in 2 of these, simple surgical detorsion (1), and surgical detorsion and cecopexy (2). There were four mortalities (31%), of which all had delayed presentation with perforation and fecal contamination. Delays to presentation were associated with mortality (p = 0.03). Cecal volvulus resulted in increased perioperative mortality compared to all intestinal obstructions presenting to the institution (p < 0.0001). Conclusions Cecal volvulus carries a high risk of mortality. A high index of suspicion and early consideration in the differential diagnosis of intestinal obstruction should be considered to reduce the mortality associated with the delay in preoperative diagnosis.

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“…2 It is an infrequent cause of intestinal obstruction, accounting for 1−5% of all adult intestinal obstructions; and up to 40% of colonic volvulus. 3 A mobile/non-fixed cecum is mentioned as one significant associated finding in patients with cecal volvulus, and this was seen in about 25% of cadaveric studies. 4 Its variable clinical symptoms make it difficult to diagnose early.…”

Section: Introductionmentioning

confidence: 99%

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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Caecal volvulus in an adolescent African male: a case report and brief review of the literature

Cited by 5 publications

References 9 publications

Cecal Volvulus Post Cesarean Section: A Case Report

Cecal Volvulus Post Cesarean Section: A Case Report

Cecal volvulus in rural Kenya: delayed presentation contributes to high mortality

Cecal Volvulus: A Case Report and Review of the Literature

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