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Cecum volvulus complicated by septic jaundice.
Thales Paulo Batista1, Jânio Cipriano Rolim, Allysson Antonio Ribeiro Gomes
1Surgery Service, Hospital de Guarnição de João Pessoa, João Pessoa, Paraíba, Brazil. t.paulo@bol.com.br
Revista Do Colegio Brasileiro De Cirurgioes
|February 23, 2011
Summary
Cecal volvulus, a rare cause of bowel obstruction, involves cecal torsion. While surgery is often needed, detorsion and cecopexy can suffice for uncomplicated cases, though complications like septic jaundice can arise.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Abdominal Surgery
Background:
- Cecal volvulus is an infrequent cause of acute intestinal obstruction in adults.
- It results from the torsion of an enlarged, mobile cecum.
- Clinical presentations vary widely, from mild discomfort to severe pain with strangulation and sepsis.
Observation:
- The case involved a 55-year-old woman presenting with cecal volvulus.
- The patient underwent surgical management with detorsion and cecopexy.
- The procedure was complicated by the development of septic jaundice.
Findings:
- Surgical intervention is typically necessary for cecal volvulus.
- Resection with ileocolic anastomosis is indicated for gangrene or perforation.
- Detorsion and cecopexy represent a viable surgical option for non-complicated cecal volvulus.
Implications:
- Individualized treatment strategies are crucial for managing cecal volvulus.
- Even seemingly straightforward procedures like cecopexy carry risks of serious complications.
- This case highlights the importance of vigilant post-operative monitoring for potential complications such as septic jaundice.
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