Cecal Volvulus

Hasbahçeci, Mustafa; Başak, Fatih; Ali̇moğlu, Orhan

doi:10.1007/s12262-012-0432-9

Cited by 54 publications

(74 citation statements)

References 22 publications

(70 reference statements)

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“…4 Cecal volvulus is associated with an incomplete fixation of the cecum during embryogenesis. 4,5 Normally during embryogenesis, the primitive gut tube lengthens and twists around the superior mesenteric artery 90 degrees counterclockwise outside the abdominal cavity. The primitive gut tube continues to twist around itself 180 degrees as it returns into the abdominal cavity.…”

Section: Reports Total Colonic Volvulusmentioning

confidence: 99%

“…This results in the location of the appendix, cecum, ascending colon, and two-thirds of the transverse colon in the right lower portion of the abdominal cavity. 5 Transverse volvulus is a rare event, because the anatomy does not easily permit twisting as compared to the cecum due to its shorter length. TOTAL COLONIC VOLVULUS…”

Section: Reports Total Colonic Volvulusmentioning

confidence: 99%

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A Rare Case of Total Colonic Volvulus

Scheerer¹,

Nazim²

2015

AMSRJ

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Volvulus is a complete twisting of the colon around its mesenteric vasculature, significantly risking obstruction and advancement to ischemic bowel. The most common areas of volvulus are in the sigmoid and cecum; less commonly, volvulus can occur in the splenic flexure and the transverse colon. A rarer situation involves the simultaneous volvulus of the transverse and sigmoid colon. This case report describes a total colonic volvulus involving the terminal ileum to the junction of the descending and sigmoid colon. To our knowledge, only one other similar case has been reported in the English literature. This is the case of a 59-year-old Caucasian female who presented with gastrointestinal bleeding, hypotension, and abdominal pain. Computed tomography (CT) imaging showed colonic thickening with distention extending from the cecum up to the region of the descending-sigmoid junction, which was suggestive of volvulus. An exploratory laparotomy was performed, and infarcted bowel associated with volvulus involving the cecum, ascending colon, transverse colon, and descending colon down to the sigmoid junction was discovered. A subtotal colectomy and ileostomy was performed. Volvulus involving two segments of the colon is a rare event that is diagnosed intra-operatively rather than through pre-operative physical exam and imaging as these modalities are often nonspecific for diagnosing volvulus. It is important for the surgeon to consider the possibility of a volvulus involving more than one segment of colon because of the challenge it presents to the operation and to post-operative management. Regardless of suspected etiology of an acute abdomen, a patient presenting with peritonitis should always undergo an emergent exploratory laparotomy for diagnosis. Volvulus is a complete twisting of the colon around its mesenteric vasculature, significantly risking obstruction and advancement to ischemic bowel. Diagnosis of volvulus is challenging, because physicians may not initially suspect volvulus on their pre-operative assessment as volvulus is often diagnosed intra-operatively. The most common areas of volvulus are in the sigmoid (75%) and cecum (22%); less commonly, volvulus can occur in the splenic

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Section: Reports Total Colonic Volvulusmentioning

confidence: 99%

Section: Reports Total Colonic Volvulusmentioning

confidence: 99%

A Rare Case of Total Colonic Volvulus

Scheerer¹,

Nazim²

2015

AMSRJ

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“…However, laparoscopic cholecystectomy is associated with several possibly life-threatening complications, such as injury to the biliary tract, vessels, and the adjacent bowel 1 . Cecal volvulus is characterized by torsion of the cecum around its own mesentery and often results in obstruction, ischemia, necrosis, and perforation 2 . However, cecal volvulus is a rare complication of laparoscopic cholecystectomy.…”

Section: Introductionmentioning

confidence: 99%

Cecal Volvulus Following Elective Laparoscopic Cholecystectomy: A Case Report

et al. 2016

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Cecal volvulus is characterized by torsion of the cecum around its own mesentery. However, cecal volvulus rarely develops soon after elective laparoscopic cholecystectomy. We report on a case of cecal volvulus that developed in a 54-year-old women 1 day after elective laparoscopic cholecystectomy and was successfully treated via colonoscopic decompression. The symptoms gradually improved in conjunction with recovery from postoperative ileus. Whether the incidence of volvulus has increased with the use of laparoscopic procedures, including laparoscopic cholecystectomy, has yet to be determined. Considering the current trend toward minimally invasive surgery, cecal volvulus should be considered in patients who have postoperative abdominal pain and distention.

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“…In cases of axial volvulus, the caecum rotates around its long axis. In the caecal bascule subgroup, an upward folding of the caecum occurs, either anteriorly or posteriorly . Through either mechanism, the twisting or folding results in proximal large bowel obstruction with the risk of sequelae of ischaemia and perforation.…”

mentioning

confidence: 99%

“…Caecal volvulus refers to the malrotation of the caecum and can be subdivided into two major subgroups: axial ileocolic volvulus which accounts for 90% of cases and caecal bascule which accounts for the remaining 10%. 1 In cases of axial volvulus, the caecum rotates around its long axis. In the caecal bascule subgroup, an upward folding of the caecum occurs, either anteriorly or posteriorly.…”

mentioning

confidence: 99%