Laparoscopic cecopexy for mobile cecum syndrome manifesting as cecal volvulus: Report of a case

Tsushimi, Takaaki; Kurazumi, Hiroshi; Takemoto, Yasuhiko; Oka, Kiyomasa; Inokuchi, Toshihiro; Seyama, Atsushi; Morita, Tomoaki

doi:10.1007/s00595-007-3620-7

Cited by 54 publications

(49 citation statements)

References 18 publications

(10 reference statements)

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“…Other risk factors are late-term pregnancy, high-fibre intake, adynamic ileus, chronic constipation, distant colon obstruction, inflammation of the peritoneal cavity, pelvic tumours or cysts, heavy lifting, blows to the abdomen, psychiatric disorders, or abuse of laxatives. 8,9 Pre-operative diagnosis plays an important role in the management of such patients. Clinical presentation generally includes acute intermittent pain, abdominal distension, obstruction, nausea, vomiting and constipation, 10 such as in our case.…”

Section: Discussionmentioning

confidence: 99%

“…The 'coffee bean' sign refers to the rounded focal collection of air-distended bowel with haustral creases visualised in the left upper quadrant or anywhere within the abdominal cavity. [3][4][5][6][7][8][9][10][11][12] The 'bird beaks' are images correlating with the progressively tapering efferent and afferent bowel loops terminating at the site of torsion. 3 More specific for volvulus is the 'whirl sign', in which the whirl is composed of spiralled loops of collapsed caecum and sigmoid colon.…”

Section: Discussionmentioning

confidence: 99%

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Is laparotomy the unavoidable step to diagnose caecal volvulus?

Pulvirenti

Palmieri

Toro

et al. 2010

annals

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Caecal volvulus is the axial twist of the caecum, ascending colon and terminal ileum around the mesenteric pedicle. This infrequently encountered clinical entity is responsible for 1–1.5% of all intestinal obstruction with a mortality of 10–40% depending on the presence of colon viability or intestinal gangrene. Many factors have been referred as correlated to caecal volvulus development, mainly anatomical predisposition and previous abdominal operations. Pre-operative diagnosis plays an important role in the management of such patients. Unfortunately, clinical signs, symptoms and laboratory tests are never specific enough to lead to a prompt diagnosis. Abdominal radiography and computed tomography may allow a diagnosis if typical signs are present. However, up to 30% of patients do not show these radiographic peculiarities, making the diagnosis difficult or impossible. Moreover, the low incidence of this disease is often responsible of a wrong or imprecise diagnosis, especially for radiologists who work with low volume of patients. We report a case of a patient with caecal volvulus, in which laparotomy was unavoidable to reach a diagnosis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Is laparotomy the unavoidable step to diagnose caecal volvulus?

Pulvirenti

Palmieri

Toro

et al. 2010

annals

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“…In recent times laparoscopic cecopexy is gaining popularity and is fast becoming the treatment of choice [7]. As discussed in this case report, intussusception can present with unusual way and may be really confusing to diagnose clinically and to decide plan of action preoperatively.…”

Section: Discussionmentioning

confidence: 91%

Migrating Lump in Abdomen—Ileo-Colo-Colic Intussusception Up to the Rectum with Hypermobile Caecum and Ascending Colon

Patil¹,

Khachane²,

Bharambe³

2017

OJPed

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In pediatric age group, Intussusception is the most common cause of acute intestinal obstruction. They present with the classic clinical triad of colicky abdominal pain, vomiting and bloody stools. But clinically very few patients (20%) present with this classical symptoms. This article highlights an importance of suspecting intussusception by physician and rare presentations of intussusception lump in abdomen in a child with abdominal pain, gastrointestinal symptoms. Here a case reported of 16-year-old male child who presented with migrating lump in abdomen on and off with varied clinical presentation every time in single admission. Patient underwent laparotomy and manual reduction of intussusception was done. It is advisable to have high suspicion of intussusception while dealing with such cases.

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“…Caecocolopexy, using the lateral peritoneal flap, is an effective method of fixing the caecum and ascending colon and prevents subsequent caecal volvulus. [3,9,10] …”

Section: Resultsmentioning

confidence: 99%

“…However, in the recent time, the laparoscopic approach is gaining much popularity. [9,10] Other techniques, which include simply suturing the caecum and ascending colon to the lateral peritoneum and interposition with a sponge, have a high rate of recurrence. [11] First, the peritoneum lateral to the unattached portion of the colon is incised.…”

Section: Discussionmentioning

confidence: 99%

Mobile caecum and ascending colon syndrome in a Nigerian adult

et al. 2009

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A mobile caecum and ascending colon is a rare congenital abnormality. Its presentation as a cause of right lower abdominal pain in an adult is usually mis-diagnosed as acute appendicitis. A 42-year-old civil servant presented with a 2-year history of recurrent right lower quadrant pain of the abdomen. The pain was sharp in nature and persistent in the last 2 weeks and centered mainly in the right side of the abdomen. No other associated symptoms were noted. Laboratory investigations did not reveal obvious abnormality. A diagnosis of acute on chronic lower quadrant pain of unknown etiology was made. The patient was resuscitated and had exploratory laparatomy. No abnormalities were found other than the caecum and the whole ascending colon, which were unattached to the posterior peritoneum. Appendectomy and caecopexy, using a lateral peritoneal fl ap were performed. The diagnosis of mobile caecal syndrome should be considered in patients with chronic right lower quadrant pain, and appendectomy and caecopexy offers a great relief.Keywords: Adult, ascending colon, mobile caecum, Nigerian Résumé UN caecum mobile et côlon ascendant est une anomalie congénitale rare. Ses présentation comme une cause de douleur abdominale inférieure droite dans un adulte est habituellement mis-Diagnosed comme appendicite aiguë. Un fonctionnaire âgé de 42 an, qui a présenté une histoire de deux ans de douleur récidivante de quadrant inférieur droit de l'abdomen.La douleur a été forte dans la nature et persistante au cours des deux-semaines et centrés principalement dans la partie droite de l'abdomen. Aucun autres symptômes associés ont été a fait remarquer. Enquêtes de laboratoire n'a révélé anomalie évidente. UN diagnostic des aigus sur la douleur chronique de quadrant inférieure d'étiologie inconnue a été établi. Patient a été resuscitated et avait laparatomy exploratoire. Aucune anomalie ne étaient autre que le caecum et le côlon ascendant ensemble, qui ont été trouvés seules pour le péritoine postérieur. Appendectomy et caecopexy, utilisant un volets péritonéale latérale ont été effectuées. Le diagnostic de syndrome de caecal mobile devrait être considérée de patients souffrant de douleur chronique de quadrant inférieure droit et appendectomy et caecopexy offre un grand soulagement.

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Laparoscopic cecopexy for mobile cecum syndrome manifesting as cecal volvulus: Report of a case

Cited by 54 publications

References 18 publications

Is laparotomy the unavoidable step to diagnose caecal volvulus?

Is laparotomy the unavoidable step to diagnose caecal volvulus?

Migrating Lump in Abdomen—Ileo-Colo-Colic Intussusception Up to the Rectum with Hypermobile Caecum and Ascending Colon

Mobile caecum and ascending colon syndrome in a Nigerian adult

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