Cecal volvulus caused by a large uterine leiomyoma

Vries, Hilbert S. de; Samlal, Raoul K.; Maresch, Bas J.; Hoven-Gondrie, Miriam L.

doi:10.1016/j.ijscr.2015.03.021

Cited by 5 publications

(6 citation statements)

References 12 publications

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“…Of the 14 prior reports of such condition, 8 reports were adults and 6 were children. Generally, risk factors include previous abdominal surgeries, intra-abdominal tumors, congenital peritoneal bands, pregnancy, Overexertion and blunt trauma [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Caecal volvulus associated with complex small bowel malrotation and congenital bands: A case report and literature review

Khougali

Hamad

Abdelhamid

2021

Journal of Surgical Case Reports

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Caecal volvulus is an uncommon condition and represents only 10% of all colonic volvulus. The mechanism is due to hypermobile cecum twisting around it is own mesentery. A 40-year-old female who was previously fit and well-attended hospital with 2 days history of intermittent abdominal pain, mild distention and constipation. X-rays showed twisted and dilated loops of bowel with right hepato-diaphragmatic bowel loops entrapment. A computed tomography scan was the only confirmatory test of caecal volvulus with intermittent bowel symptoms. Emergency laparotomy revealed complex intraoperative bowel loops malrotation with congenital bands and abnormal position of Duodeno-Jejenal flexure. Open right hemicolectomy was the operation of choice for this complex case. Caecal volvulus must be considered as one of the important differential diagnosis of acute abdomen during initial assessment of patients with intermittent bowel symptoms in emergency department in order to avoid any therapeutic delay.

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Section: Introductionmentioning

confidence: 99%

Caecal volvulus associated with complex small bowel malrotation and congenital bands: A case report and literature review

Khougali

Hamad

Abdelhamid

2021

Journal of Surgical Case Reports

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“…The caecum is the second location of colonic volvulus after colon sigmoid [2] . The suggested mechanism of cecal volvulus associates cecal hyper mobility to a precipitating factor like pregnancy [11] , uterine leiomyoma [3] or colonic tumor. Cecal hyper mobility is a congenital condition.…”

Section: Discussionmentioning

confidence: 99%

“…Precipitating factor is essential to develop cecal volvulus. It may be post operative adhesion [3] , colonic tumor or pregnancy [13] . The risk of cecal volvulus increases with duration of gestation [7] , [13] .…”

Section: Discussionmentioning

confidence: 99%

“…Caecum is the second location of colonic volvulus [2] . It was first described by Rokitanksy in 1837 as an intestinal strangulation [3] . Cecal hyper mobility with precipitating factor such as colonic tumor, abdominal mass, pregnancy or congenital condition (i.e.…”

Section: Introductionmentioning

confidence: 99%

“…Cecal hyper mobility with precipitating factor such as colonic tumor, abdominal mass, pregnancy or congenital condition (i.e. Ehlers-Danlos syndrome) [3] , [4] , [5] , [6] , may explain the bowel axial twist around its mesenteric pedicle [1] , [6] , [7] . Cecal hypermobility results from congenital defect of cecal fixation on the posterior parietal peritoneum [8] , [9] .…”

Section: Introductionmentioning

confidence: 99%

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Cecal volvulus: A rare post-partum complication

Ferjaoui

Arfaoui

Haddad

et al. 2021

International Journal of Surgery Case Reports

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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.

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