Caecal volvulus secondary to malrotation presenting after caesarean section

Pal, Arabinda; Corbett, Elizabeth L.; Mahadevan, N.

doi:10.1080/01443610500335373

Cited by 15 publications

(9 citation statements)

References 8 publications

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“…Colonic volvulus is associated with 24% of such cases, whereas it occurs only in 3% of bowel obstruction in nonpregnant patients [5]. The high incidence of colonic volvulus during pregnancy is related to uterus enlargement.…”

Section: Discussionmentioning

confidence: 98%

Cecal volvulus after twin gestation: laparoscopic approach

et al. 2011

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Cecal volvulus in pregnancy is a rare, difficult to diagnose, clinical entity. It is associated with high morbidity and mortality, both of mother and fetus, because of delayed diagnosis. A high index of clinical suspicion is required in pregnant or puerperant women with signs and symptoms of bowel obstruction and persistent pain at the right low abdominal quadrant. As long as diagnosis is timely set, laparoscopy is a safe and successful means of surgical treatment.

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Section: Discussionmentioning

confidence: 98%

Cecal volvulus after twin gestation: laparoscopic approach

et al. 2011

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“…It is postulated that caecal volvulus occurs in individuals who have an inherently mobile caecum due to poor embryological attachment of the caecum and ascending colon to the posterior parietal peritoneum in the right paracolic gutter, in combination with risk factors such as chronic constipation, bowel adhesions or recent abdominal surgery 5–7. Although abdominoplasty has not previously been implicated, there have been other exclusive case reports of caecal volvulus occurring Postcaesarean section15; Postcolonoscopy16; Postlaparoscopic procedures —appendectomy,17 nephrectomy and renal transplant18 and liver biopsy 19 …”

Section: Discussionmentioning

confidence: 99%

Caecal volvulus following abdominoplasty: a tale of caution

et al. 2014

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We present a case of a 30-year-old woman with a gangrenous right colon secondary to caecal volvulus, diagnosed postabdominoplasty. To our knowledge, this is the first case recorded in the literature. An emergency right hemicolectomy was performed and the patient had an unremarkable recovery. Given the severity of this incident, the diagnosis of caecal volvulus postabdominoplasty requires a high index of suspicion to allow prompt diagnosis and treatment.

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“…It has been postulated that uterine enlargement during pregnancy pushes up the redundant or abnormally mobile cecum out of the pelvis, which increases the chances of its axial rotation around a fixed point. During puerperium a different set of events occur; there is rapid reduction of intra-abdominal contents, which may alter the mechanical equilibrium of the bowel and mesenteric base leading to twisting of bowel segments [6]. Volvulus gives rise to twin sets of clinical findings due to two components, namely, mechanical obstruction and vascular compromise.…”

Section: Discussionmentioning

confidence: 99%