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Updated: Nov 7, 2025

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

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Caecal volvulus and jejunostomy: challenging diagnostic.

A Morera-Grau¹, E Membrilla-Fernández^1,2, A M González-Castillo^1,2

¹General Surgery Department, Hospital del Mar, Barcelona, Spain.

Journal of Surgical Case Reports

|April 30, 2021

Summary

Caecal volvulus, the second most common colonic volvulus, presents diagnostic challenges. Surgical intervention, like ileo-cecal resection, is often required for this serious intestinal obstruction.

Keywords:

bowel obstruction cecum colon volvulus

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Area of Science:

Gastroenterology
Surgical Case Report

Background:

Caecal volvulus accounts for 20-40% of colonic volvulus cases, presenting as a significant cause of intestinal obstruction.
Symptoms typically include nausea, vomiting, and abdominal distension, mimicking other causes of bowel obstruction.

Observation:

A 45-year-old female with a history of feeding jejunostomy tube presented with acute vomiting and abdominal pain.
Computed tomography (CT) scan revealed small intestine dilation, initially suggesting small intestine volvulus.

Findings:

Laparotomy confirmed a caecal volvulus, necessitating an ileo-cecal resection with primary anastomosis.
The patient experienced complications and required a 60-day hospital stay.

Implications:

Caecal volvulus diagnosis can be difficult clinically, often requiring advanced imaging like CT scans to identify signs of compromised tissue.
Unlike sigmoid volvulus, endoscopic detorsion is not an effective treatment for caecal volvulus.