[Cecal volvulus: one case and literature review]
José Francisco Camacho-Aguilera1, Antonio Calderón-Vieyra2
1Instituto Mexicano del Seguro Social, Hospital General de Zona No. 3, Servicio de Cirugía General. San Juan del Río, Querétaro, México.
Revista Medica Del Instituto Mexicano Del Seguro Social
|September 1, 2022
Summary
Cecal volvulus, a rare cause of intestinal obstruction, requires prompt diagnosis and surgical intervention to prevent severe complications. This case highlights successful management through detorsion and fixation, emphasizing early recognition for better outcomes.
Area of Science:
- Gastroenterology
- Abdominal Surgery
Background:
- Cecal volvulus is a rare condition causing intestinal obstruction due to cecal torsion.
- It is often linked to abnormal cecal fixation and can lead to ischemia, necrosis, and perforation if delayed.
- Management varies from detorsion and cecopexy to hemicolectomy, depending on tissue viability.
Observation:
- A 43-year-old female presented with symptoms of intestinal obstruction.
- Abdominal tomography revealed a dilated colon and a characteristic "inverted coffee bean" sign.
- Exploratory laparotomy confirmed a bascule-type cecal volvulus without vascular compromise.
Findings:
- The patient underwent successful devolvulation, decompression via appendectomy, and cecopexy.
- Post-operative recovery was uneventful, with the patient discharged for outpatient follow-up.
Implications:
- Early diagnosis and surgical treatment of cecal volvulus are crucial due to its low incidence and potential for high mortality.
- Cecal volvulus should be considered in the differential diagnosis of intestinal obstruction to avoid delayed treatment and severe outcomes.
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