Intestinal Nonrotation and Cecal Volvulus: A Unique Combination of Rare Pathologies

Trokhimtchouk, Tatiana Fernandez; Flores, Luis F; Cox, Álvaro Morillo; Gordillo, A.; Martinez, Joseline K Crespo

doi:10.7759/cureus.39761

Cited by 1 publication

(1 citation statement)

References 9 publications

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“…CV can be reduced nonoperatively (e.g. by colonoscopy or contrast enema); however, this method is rarely effective (5%) and may result in perforation [10][11][12]. Additionally, 20% to 25% of patients who have nonoperative reduction may miss developing colonic necrosis, and such patients may develop colonic perforation [8].…”

Section: Discussionmentioning

confidence: 99%

Caecal Volvulus Presenting as an Obstructed Inguinal Hernia: A Case Report

M S,

Viswanathan

et al. 2023

Cureus

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Caecal volvulus (CV) is an uncommon cause of large intestinal obstruction due to the axial torsion of the caecum, ascending colon, and terminal ileum. We describe the case of a 37-year-old man who presented with bilateral inguinal hernias (the left larger than the right), diffuse abdominal pain, vomiting, difficulty passing stool, and flatus that were comparable to those of an obstructed hernia. Imaging tests revealed a collapsed ascending colon, free fluid collection, and a significantly dilated proximal ileum. An urgent laparotomy showed a perforated, clockwise-twisted caecum that required a right hemicolectomy. Postoperatively, the patient had a good recovery. CV is uncommon, and its symptoms are vague, making diagnosis difficult. For an accurate diagnosis and prompt action, imaging tools and a high index of suspicion are essential. This case serves as a reminder of the significance of taking rare entities into consideration in developing a differential diagnosis of complex abdominal presentations and the necessity for a differential diagnostic approach to choose the most suitable surgical course of action.

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