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Related Experiment Video

Updated: Jun 12, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
06:46

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

Published on: January 9, 2026

Is laparotomy the unavoidable step to diagnose caecal volvulus?

Elia Pulvirenti1, Laura Palmieri, Adriana Toro

  • 1Department of Surgical Sciences, Organ Transplantation and Advanced Technologies, University of Catania, Cannizzaro Hospital, Catania, Italy.

Annals of the Royal College of Surgeons of England
|June 10, 2010
PubMed
Summary

Caecal volvulus, a rare cause of intestinal obstruction, involves twisting of the cecum and surrounding structures. Diagnosis can be challenging due to non-specific symptoms and imaging findings, often necessitating surgery.

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Last Updated: Jun 12, 2026

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Caecal volvulus is an uncommon cause of intestinal obstruction, accounting for 1-1.5% of cases.
  • It carries a significant mortality rate (10-40%) contingent on bowel viability.

Observation:

  • Anatomical predisposition and prior abdominal surgeries are key contributing factors.
  • Clinical presentation and standard laboratory tests lack specificity for diagnosis.
  • Radiography and CT scans can suggest caecal volvulus but are not definitive in up to 30% of cases.

Findings:

  • The low incidence of caecal volvulus contributes to diagnostic delays and misdiagnoses, particularly among radiologists with limited exposure.
  • This case highlights the diagnostic challenges, where exploratory laparotomy was essential for definitive diagnosis.

Implications:

  • Improved awareness and diagnostic strategies are crucial for timely intervention in caecal volvulus.
  • Further research into more sensitive diagnostic modalities is warranted to reduce morbidity and mortality.