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Cecal Volvulus: A Report of a Challenging Case
Ahmed Al Khalifa1, Alaa Sedik2
1College of Medicine, Sulaiman Alrajhi University, Al Bukayriyah, SAU.
Cureus
|October 24, 2023
Summary
Cecal volvulus, a rare cause of intestinal obstruction, requires early diagnosis and treatment. This case highlights the importance of prompt surgical intervention for this uncommon condition.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Radiology
Background:
- Cecal volvulus is an uncommon cause of acute intestinal obstruction, accounting for 1%-1.5% of adult cases.
- It involves an axial twist of the cecum, terminal ileum, and ascending colon around the mesenteric pedicle.
Observation:
- A 75-year-old male with multiple comorbidities presented with symptoms of abdominal guarding and tenderness.
- Initial assessment revealed elevated white blood cell count and lactate levels, progressing to septic shock.
Findings:
- Radiological imaging, specifically a CT scan with contrast, is crucial for diagnosing cecal volvulus and assessing associated risks.
- The case presented a diagnostic challenge due to the patient's comorbidities and rapid deterioration.
Implications:
- Early diagnosis and prompt surgical intervention are critical for improving outcomes in patients with cecal volvulus.
- This case underscores the need for heightened clinical suspicion and timely management of this rare surgical emergency.
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