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Updated: Jan 22, 2026
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Fecal Microbiota Transplantation via Colonoscopy for Recurrent C. difficile Infection
Published on: December 8, 2014
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Recurrent Bowel Obstruction Caused by Cecal Volvulus: A Case Report
Masaki Miyao1, Tsubasa Takahashi1, Mikihiro Okusa2
1Department of Pediatric Surgery, Nippon Medical School Musashi Kosugi Hospital.
Summary
Diagnosing cecal volvulus (CV) preoperatively is challenging. This case highlights successful computed tomography diagnosis and elective laparoscopic cecopexy in a patient with intellectual disability.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Radiology
Background:
- Cecal volvulus (CV) diagnosis is often delayed due to its rarity and non-specific symptoms.
- Emergent laparotomy is a common approach for suspected CV, carrying significant risks.
- Patients with intellectual disabilities may present unique diagnostic challenges.
Observation:
- A case of cecal volvulus (CV) in a patient with intellectual disability is presented.
- Preoperative diagnosis was achieved using computed tomography (CT) scan.
- Conservative management involving an ileus tube was initiated.
Findings:
- Computed tomography (CT) enabled accurate preoperative diagnosis of cecal volvulus (CV).
- Successful elective laparoscopic cecopexy was performed after conservative management.
- This approach avoided emergent laparotomy in a vulnerable patient population.
Implications:
- CT imaging is crucial for the early diagnosis of cecal volvulus (CV), even in complex cases.
- Laparoscopic cecopexy offers a viable, less invasive surgical option following conservative treatment for CV.
- Improved diagnostic strategies can lead to better outcomes for patients with intellectual disabilities presenting with abdominal emergencies.
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