Related Experiment Video
Updated: Nov 14, 2025
08:51
Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
Published on: August 24, 2019
10.3K
Caecal volvulus: untwisting the mystery
Martha Sara Kedrzycki1,2, Jaya Roy Choudhury3,2, Sherif Hakky3,2
1Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK m.kedrzycki@imperial.ac.uk.
BMJ Case Reports
|March 11, 2021
Summary
Caecal volvulus, a rare cause of abdominal pain, occurs when the cecum twists, potentially causing serious complications. Prompt diagnosis and surgical intervention are crucial for effective management of this uncommon condition.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Emergency Medicine
Background:
- Caecal volvulus is an uncommon cause of acute surgical abdomen.
- It involves the twisting of the cecum on its mesentery, leading to potential bowel ischemia and perforation.
- The rarity of this condition often delays its consideration in differential diagnoses.
Purpose of the Study:
- To present a case series of two patients diagnosed with caecal volvulus.
- To highlight the challenges in diagnosing this rare surgical emergency.
- To emphasize the importance of early recognition and prompt treatment.
Main Methods:
- A single-centre case series was conducted.
- Two patients presenting to an Emergency Surgery Unit with symptoms suggestive of caecal volvulus were analyzed.
- Clinical presentation, diagnostic workup, and management strategies were reviewed.
Main Results:
- Two cases of caecal volvulus were identified and treated.
- The patients presented with acute abdominal symptoms.
- Successful surgical management was achieved for both cases.
Conclusions:
- Caecal volvulus, though rare, must be considered in the differential diagnosis of acute abdominal pain.
- Prompt surgical intervention is essential for favorable outcomes.
- This case series underscores the need for heightened clinical suspicion for this pathology.
Related Concept Videos
01:21Inflammatory Bowel Disease V: Surgical Management
298
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
298
01:22Appendicitis-I: Introduction
1.1K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
1.1K
01:17Chronic Bowel Disorders: Introduction
629
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
629
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
540
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
540
01:29Appendicitis-II: Diagnostic Studies and Management
249
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
249
01:26Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
225
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
225