Caecal Volvulus Presenting as an Obstructed Inguinal Hernia: A Case Report.
Viswanathan M S1, Vidhya Sree S2, Varun M Viswanathan2
1General and Plastic surgery, Employees' State Insurance Corporation (ESIC) Medical College & Hospital, Chennai, IND.
Cureus
|October 30, 2023
Summary
Caecal volvulus (CV), a rare cause of intestinal obstruction, involves twisting of the cecum. Prompt diagnosis via imaging and clinical suspicion is crucial for effective surgical intervention.
Area of Science:
- Gastroenterology
- Surgical Case Reports
- Abdominal Imaging
Background:
- Caecal volvulus (CV) is an infrequent cause of large intestinal obstruction.
- It results from axial torsion of the cecum, ascending colon, and terminal ileum.
- Symptoms often mimic other conditions, complicating diagnosis.
Observation:
- A 37-year-old male presented with symptoms mimicking an obstructed hernia, including abdominal pain and vomiting.
- Imaging revealed a collapsed ascending colon, free fluid, and dilated proximal ileum.
- Urgent laparotomy identified a perforated, clockwise-twisted cecum.
Findings:
- The patient underwent a right hemicolectomy for the perforated caecal volvulus.
- Postoperative recovery was uneventful.
- This case highlights the diagnostic challenges posed by CV.
Implications:
- Rare conditions like CV must be considered in complex abdominal presentations.
- A high index of suspicion and appropriate imaging are vital for timely diagnosis.
- Differential diagnosis and tailored surgical approaches are essential for managing such cases.
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