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[Intestinal occlusion due to cecal volvulus]

José Ignacio Rodríguez-Hermosa1, Adam Martín, Ramón Farrés

  • 1Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario Dr. Josep Trueta, Girona, Spain. joserod@eresmas.net

Cirugia Espanola
|January 20, 2006
PubMed

Insights

Cecal volvulus, a rare cause of intestinal obstruction, requires surgical intervention. Prompt treatment with right hemicolectomy can lead to favorable outcomes in elderly patients.

Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology
  • Abdominal Surgery

Background:

  • Cecal volvulus is an uncommon cause of intestinal occlusion in Western populations, accounting for only 1% of adult cases.
  • It presents with symptoms including abdominal pain, distension, and absence of feces.

Observation:

  • This study details three cases of intestinal occlusion caused by cecal volvulus in elderly patients (74, 61, and 81 years old) with significant comorbidities.
  • All patients presented with acute abdominal symptoms.

Findings:

  • Surgical management involved right hemicolectomy and mechanical ileocolonic anastomosis.
  • Two female patients experienced favorable postoperative courses, maintaining age-appropriate social and occupational activities.
  • The male patient unfortunately died postoperatively.

Implications:

  • This case series highlights the critical need for timely surgical intervention in cecal volvulus, even in elderly patients with comorbidities.
  • While surgical outcomes can be positive, patient selection and management strategies are crucial given the potential for mortality.
  • Further research into risk factors and optimized surgical techniques for cecal volvulus in the elderly may improve patient prognosis.

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