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[Abdominal pain caused by mobile caecum with strangulation].

Michael M P J A van der Voorn¹, Patrick R Fa Si Oen

¹Leids Universitair Medisch Centrum, Rijksuniversiteit Leiden, The Netherlands. michaelvdvoorn@gmail.com

Nederlands Tijdschrift Voor Geneeskunde

|February 23, 2010

Summary

An 84-year-old woman experienced acute abdominal pain due to a mobile caecum causing colon strangulation. Surgical correction resolved the emergency, suggesting this condition may explain chronic abdominal pain.

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Area of Science:

Gastroenterology
Surgical Anatomy

Background:

Mobile caecum, a congenital condition where the right colon fails to fuse with the posterior peritoneum, can lead to complications.
Chronic abdominal pain is a common symptom, often misdiagnosed as irritable bowel syndrome.

Observation:

An 84-year-old female presented with acute diffuse abdominal pain.
Imaging revealed dilated bowel, suspected colon strangulation, and herniation through the foramen of Winslow.

Findings:

Perioperative findings confirmed a distended, mobile caecum and right hemicolon strangulated and herniated via the foramen of Winslow.
Surgical intervention included destrangulation, herniation repair, caecopexy, and appendectomy.

Implications:

This case highlights mobile caecum as a potential cause of acute abdominal emergencies.
It suggests that previously unexplained chronic abdominal pain may be attributed to mobile caecum.