Cecal Volvulus Resolved Spontaneously

Kunishi, Yosuke; Tsukamoto, Megumi; Yanagibashi, Takafumi; Sodani, Yuki; Niwa, Kazuhiro; Yoshie, Koichiro; Kato, Yoshio; Maeda, Shin

doi:10.2169/internalmedicine.5532-20

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…The success rate for colonoscopic reduction of cecal volvulus is reported to be only 30%, and considering the potential risk of colonic perforation, colonoscopy is not normally recommended in the management of cecal volvulus [11]. Surgery remains the most widely accepted treatment approach [12][13][14]. There are several surgical options such as right hemicolectomy or cecum resection, followed by ileocolic anastomosis, detorsion and manual reduction of volvulus by celiotomy, cecopexy, fixation of right colon by suturing the cecum and/or ascending colon to lateral parietal peritoneum, and resection of the affected segment if there is extensive intestinal ischemia [4].…”

Section: Discussionmentioning

confidence: 99%

Cecal Volvulus in an Elderly Woman: A Rare Cause of Bowel Obstruction

Branco,

Ávila,

Rodrigues

et al. 2024

Cureus

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Cecal volvulus is a rare, life-threatening form of bowel obstruction caused by the entanglement of the bowel around the mesenteric axis, compromising blood supply and leading to obstruction and ischemia. The diagnosis is challenging due to its highly variable clinical presentation and differential diagnoses, which may delay timely intervention. This is a case report of an 89-year-old woman who presented with a two-day history of lower right quadrant abdominal pain, nausea, and a temporary loss of consciousness. She also reported a history of chronic constipation. Clinical examination and imaging were suggestive of bowel obstruction, prompting further investigation. Plain radiography and abdominal CT confirmed bowel obstruction, with suspicion of volvulus. The diagnostic uncertainty between cecal and sigmoid volvulus prompted a colonoscopy, which excluded sigmoid volvulus. Emergency laparotomy revealed cecal volvulus and a distended cecum with ischemic changes but without necrosis. A right hemicolectomy was performed, and the patient recovered well postoperatively. This case report aims to expand the medical knowledge around the topic of cecal volvulus. It underscores the challenges in diagnosing and managing this condition and emphasizes the importance of prompt recognition and surgical intervention to improve patient outcomes.

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Section: Discussionmentioning

confidence: 99%

Cecal Volvulus in an Elderly Woman: A Rare Cause of Bowel Obstruction

Branco,

Ávila,

Rodrigues

et al. 2024

Cureus

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“…Cecal volvulus has variable presentation ranging from recurrent abdominal pain, acute abdominal pain, abdominal distension, absolute constipation, vomiting, and shock. Recurrent abdominal pain is seen in cases of mobile cecum syndrome, which can progress to acute cecal volvulus as well as can resolve spontaneously 6,11–14 . Acute cecal volvulus presents with acute abdominal pain with a clinical picture similar to acute intestinal obstruction rapidly progressing to strangulation and possible perforation leading to hemodynamic instability and shock 15,16 …”

Section: Discussionmentioning

confidence: 99%

“…Recurrent abdominal pain is seen in cases of mobile cecum syndrome, which can progress to acute cecal volvulus as well as can resolve spontaneously. 6,[11][12][13][14] Acute cecal volvulus presents with acute abdominal pain with a clinical picture similar to acute intestinal obstruction rapidly progressing to strangulation and possible perforation leading to hemodynamic instability and shock. 15,16 Laboratory investigations are not specific for the diagnosis of cecal volvulus.…”

Section: Discussionmentioning

confidence: 99%

Twists and turns: A case report of cecal volvulus

Sapkota,

Batajoo,

Lamichhane

et al. 2023

Clinical Case Reports

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Coecum mobile. Literature review and clinical observation

Isaev,

Sergeev,

Morozov

et al. 2023

vmirvz

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Relevance. Anomalies of the position and attachment of the colon in the abdominal cavity includes a large number of options. In some cases, the pathology is not limited exclusively to the mobility of the cecum, but is combined with a violation of the fixation of the ascending colon, the absence of attachment of the hepatic and splenic angles, omission of the right half of the colon or total colonoptosis.Results. There is surgical pathology associated with abnormal position and attachment of the circumferential intestine in the abdomen and a case of abnormal position dependency and an anomaly of the attachment of the right side of the circumferential intestine, depending on body type, which have certain clinical manifestations. Clinical manifestations of this pathology, methods of diagnosis and treatment with favorable results are described in the article. Also own surgical treatment methods depending on the anatomical variant of the pathology are presented in the article.Conclusion. The anatomical restoration of the correct position of the intestine in the abdominal cavity is operative. The proposed operation is performed taking into account the anomaly variant.

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Cecal Volvulus Resolved Spontaneously

Cited by 3 publications

References 11 publications

Cecal Volvulus in an Elderly Woman: A Rare Cause of Bowel Obstruction

Cecal Volvulus in an Elderly Woman: A Rare Cause of Bowel Obstruction

Twists and turns: A case report of cecal volvulus

Coecum mobile. Literature review and clinical observation

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