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Related Experiment Videos

[Cecal volvulus].

T Abita1, F Lachachi, S Durand-Fontanier

  • 1Service Chirurgie Viscérale et Transplantation, CHU Dupuytren, Limoges.

Journal De Chirurgie
|December 13, 2005
PubMed
Summary
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Cecal volvulus, a twisting of the large intestine, causes acute bowel obstruction. Diagnosis involves imaging like X-ray, CT, or barium enema, with surgery often required.

Area of Science:

  • Gastroenterology
  • Abdominal Surgery
  • Radiology

Background:

  • Cecal volvulus is the second most frequent cause of colonic volvulus.
  • It arises from torsion or hyperflexion of an enlarged, mobile cecum.
  • Clinical presentation includes acute bowel obstruction with strangulation.

Purpose of the Study:

  • To review the mechanisms, diagnosis, and treatment of cecal volvulus.
  • To highlight diagnostic imaging findings.
  • To discuss surgical management options.

Main Methods:

  • Review of clinical presentations and diagnostic modalities for cecal volvulus.
  • Analysis of imaging findings including plain X-ray, barium enema, and CT.
  • Evaluation of therapeutic alternatives.

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Main Results:

  • Plain abdominal X-ray can diagnose over 50% of cases, showing cecal distention (teardrop/comma sign), proximal small bowel distention, and a gasless distal colon.
  • Barium enema may reveal a "beaked" termination of contrast.
  • CT scans are pathognomonic for cecal volvulus with a "vortex" appearance.

Conclusions:

  • Surgical reduction of torsion followed by ileocecal resection is the preferred treatment.
  • Cecopexy is a potential alternative for elderly or debilitated patients without cecal necrosis.