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Assessment of the Rectum and Anus01:25

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Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
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Mobile cecum: an incidental finding.

Kirti Garude1, Sandeep Rao2

  • 1Department of General Surgery, Medical College and SSGH, Baroda, Gujarat India ; 145 Rajendra Nagar, Lucknow, 226004 India.

The Indian Journal of Surgery
|January 16, 2014
PubMed
Summary
This summary is machine-generated.

Mobile cecum, a rare cause of recurrent right lower abdominal pain, can be effectively treated with cecopexy. This surgical fixation of the mobile cecum offers a solution for chronic pain when the appendix appears normal.

Keywords:
CecopexyMobile cecum

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Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Abdominal Pain Etiology

Background:

  • Recurrent right lower abdominal pain often leads to appendectomy.
  • A mobile cecum, where the cecum is not fixed to the lateral peritoneal wall, is an infrequently recognized cause of such pain.
  • Differentiating between appendicitis and mobile cecum as the cause of pain can be challenging.

Purpose of the Study:

  • To investigate mobile cecum as a potential etiological factor in recurrent right lower abdominal pain.
  • To evaluate the efficacy of cecopexy as a treatment for mobile cecum.
  • To determine if cecopexy is a suitable surgical choice for patients with mobile cecum and recurrent abdominal pain.

Main Methods:

  • A prospective study involving 110 patients with recurrent right lower abdominal pain was conducted.
  • Patients underwent appendectomy; those with a macroscopically normal appendix but a mobile cecum had cecopexy performed.
  • Cecopexy involved fixing the mobile cecum to the lateral abdominal wall using polypropylene sutures.

Main Results:

  • Out of 110 patients, 20 had a normal-appearing appendix, with 8 of these exhibiting a mobile cecum.
  • Additionally, 10 patients with inflamed appendices also had a mobile cecum.
  • Follow-up of 64 patients showed no recurrence of abdominal pain after appendectomy and cecopexy.

Conclusions:

  • Mobile cecum is a significant, albeit rare, cause of recurrent right lower abdominal pain.
  • Cecopexy is an effective, technically straightforward surgical treatment for mobile cecum.
  • This procedure offers a viable solution for patients experiencing recurrent pain attributed to a mobile cecum.