Cecal Volvulus: A Rare Cause of Intestinal Obstruction

Rojas, Carolina Solis; Duarte, Ramón Vidrio; Vivanco, Diego Martín García; Montalvo-Javé, Eduardo E.

doi:10.1159/000506933

Cited by 11 publications

(12 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Computed tomography remains the investigation of choice (5) . Many signs were reported in the literature such as the "whirl" sign, the "bird's beak" sign, and the situation of the superior mesenteric vein to the left of the superior mesenteric artery (9,10) .In our case, the "whirl sign" and a superior mesenteric pedicle swirl were noted.…”

Section: Case Reportmentioning

confidence: 47%

Cecal volvulus with intestinal malrotation: a rare cause of bowel obstruction

Hajri

Talbi

Moula

et al. 2023

Bangladesh J Med Sci

View full text Add to dashboard Cite

Introduction:Cecal volvulus is a rare cause of acute abdomen in adults. It accounts for less than 1% of intestinal obstructions and 25-30% of cases of colonic volvulus. Congenital intestinal malrotation is a complex disorder due to incomplete or faulty rotation and fixation of the gut during the fetal life.Cecal volvulus associated with intestinal malrotation is a very rare presentation. Over 16 cases were reported in the literature. Case report:A 44-year-old man with no medical history, presented to the emergency department with a 2-day history of abdominal pain and bloating. On clinical examination, the abdomen was distended and tympanic to percussion, with diffuse abdominal tenderness. Abdominal X-ray (standing) showed a distended large intestine with an airfluid colonic level. CT scan showed a markedly dilated cecum measuring up to 14 cm, which were located in the left hypochondrium. A “whirl sign” and a superior mesenteric pedicle swirl were also noted. Emergency surgery was performed. Intraoperative exploration revealed a cecal volvulus with a largely distended hypermobile cecum located in the left hypochondrium, with preischemic signs within its wall. All the small gut was right-sided and the large gut left-sided, suggestive of mesenterium commune and intestinal malrotation. A right hemicolectomy withileo-transverse anastomosis was done. The postoperative course was uneventful. The patient is on regular follow up and is doing well. Conclusion:We describe a rare case of surgical management of cecal volvulus associated with intestinal malrotation in a middle-aged patient with no medical history. This case highlights the importance of early diagnosis by physical examination and radiological findings to prevent serious complications. Emergent surgery was the key to this successful management and surgical resection could offer better results with lesser recurrence rate. Bangladesh Journal of Medical Science Vol. 22 No. 02 April’23 Page : 445-448

show abstract

Section: Case Reportmentioning

confidence: 47%

Cecal volvulus with intestinal malrotation: a rare cause of bowel obstruction

Hajri

Talbi

Moula

et al. 2023

Bangladesh J Med Sci

View full text Add to dashboard Cite

show abstract

“…It wass first described by Rokitansky in 1837. 5 Cecal volvulus (CV) could be divided into two major groups of loop axial ileocolic, the For personal use only.…”

Section: Discussionmentioning

confidence: 99%

“…Manual detorsion without resection options is not advisable since it is associated with an unacceptable risk of recurrence (40%). 5 Cecopexy or cecostomy are also available options depending on the overall status of the patient. Possible endoscopic detorsion in cecal volvulus is an emerging option for non-strangulated volvulus but associated with high risk of recurrence.…”

Section: Discussionmentioning

confidence: 99%

Cecal Volvulus: A Case Report and Review of the Literature

Yohannes¹,

Muleta²

2021

OAS

View full text Add to dashboard Cite

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.

show abstract

“…In CT imaging, axial dynamic sequences show a dilated cecum with an air/fluid level. The dilated cecum shows progressive tapering terminating at the site of torsion: the “bird's beak” sign [16] , [17] .…”

Section: Discussionmentioning

confidence: 99%

Cecal volvulus: A rare post-partum complication

Ferjaoui

Arfaoui

Haddad

et al. 2021

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

Introduction and importance Cecal volvulus is a rare clinical condition. It is characterized by axial twist of caecum, terminal ileum and the ascendant right colon around their mesenteric pedicles. The main pathophysiologic mechanism is cecal hyper mobility associated to precipitating factor such as colonic tumor, abdominal mass or pregnancy. Cecal volvulus during pregnancy was reported, but it remains exceptional during postpartum period. Clinical presentation We report a case of cecal volvulus occurring in 37-year-old woman ten days after cesarean section delivery. She presented an acute abdominal pain associated to vomiting and nausea. X ray imaging and abdominal CT showed a large colonic obstruction, the caecum was dilated and located in the left hypochondrium. An open surgery was performed showing twisted bowels involving the caecum, the ileocecal junction and the right colon. There were necrotic areas on the colonic wall. Right hemicolectomy was performed with end to side ileo-colostomy. The evolution was marked by a serious septic shock causing patient's death. Clinical discussion Cecal volvulus is a rare condition. Its suggested mechanism associates cecal hyper mobility to a precipitating factor. Increased uterine volume may explain cecal volvulus during pregnancy. In post-partum period, it may be explained by rapid uterine size variation. Cecal volvulus diagnosis is challenging. In fact, its symptoms can be confused with post operative ileus after cesarean section delivery. Delayed management leads to worst prognosis. Conclusion Cecal volvulus during post-partum period is a rare condition, it may be serious in case of delayed diagnosis.

show abstract

Cecal Volvulus: A Rare Cause of Intestinal Obstruction

Cited by 11 publications

References 9 publications

Cecal volvulus with intestinal malrotation: a rare cause of bowel obstruction

Cecal volvulus with intestinal malrotation: a rare cause of bowel obstruction

Cecal Volvulus: A Case Report and Review of the Literature

Cecal volvulus: A rare post-partum complication

Contact Info

Product

Resources

About