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Atypical Presentation of Cecal Volvulus
Nzubechukwu Ijezie1,2, Samson Abolaji3
1Surgery, Dorset County Hospital NHS Foundation Trust, Dorchester, GBR.
Cureus
|November 29, 2023
Summary
Cecal volvulus is often underdiagnosed but prompt surgical intervention can preserve the cecum. This case highlights alternative surgical options for optimal management of this rare intestinal obstruction.
Area of Science:
- Gastroenterology and Surgical Sciences
- Abdominal Imaging and Intervention
Background:
- Cecal volvulus, a less common but significant cause of intestinal obstruction, is frequently underdiagnosed.
- Clinical presentation often mimics other obstructive pathologies, complicating timely diagnosis and management.
- Expertise in diagnostic and therapeutic procedures for cecal volvulus may be limited due to its relative infrequency.
Observation:
- A 47-year-old female presented with acute symptoms of cecal volvulus.
- The patient underwent prompt surgical intervention for the condition.
- The surgical approach focused on preserving the cecum.
Findings:
- The prompt surgical intervention led to a favorable outcome.
- Cecal preservation was achieved through a less complex surgical technique.
- This case demonstrates the feasibility of avoiding bowel resection in cecal volvulus.
Implications:
- Highlights the importance of considering cecal volvulus in differential diagnoses for acute abdominal pain.
- Suggests that alternative surgical strategies can successfully manage cecal volvulus, preserving bowel integrity.
- Emphasizes the time-sensitive nature of cecal volvulus management for optimal patient outcomes.
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