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Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience

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Published on: December 4, 2023

Cecal volvulus after open right hepatectomy.

Lasse R Jensen¹, Niclas Dohrn¹, Luit Penninga^1,2

¹Department of Surgery and Transplantation, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.

Journal of Surgical Case Reports

|February 13, 2025

Summary

This summary is machine-generated.

This case report details cecal volvulus, a rare bowel obstruction, occurring after right hepatectomy. Early recognition and surgical intervention are crucial for managing this postoperative complication.

Keywords:

emergency hepatectomy postoperative volvulus

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Area of Science:

Gastroenterology
Surgical Case Reports

Background:

Cecal volvulus is an uncommon cause of bowel obstruction, characterized by the twisting of the cecum and its mesentery.
It poses a significant risk of bowel ischemia and necrosis, necessitating prompt diagnosis and management.

Observation:

A rare instance of cecal volvulus was observed in a patient in her 70s following an open right hepatectomy.
The patient presented with abdominal distension and pain on postoperative day six, leading to the suspicion of bowel obstruction.

Findings:

Computed tomography (CT) scan confirmed bowel obstruction, and emergency laparotomy revealed a cecal volvulus with a highly mobile cecum.
The condition necessitated a right hemicolectomy with end-ileostomy due to sepsis. Postoperative recovery was complicated by paralysis and fascial dehiscence.

Implications:

This is the first documented case of cecal volvulus following right hepatectomy, suggesting altered anatomy and postoperative paralysis as potential contributing factors.
The case highlights the importance of considering cecal volvulus in the differential diagnosis of postoperative bowel obstruction, particularly after surgeries involving the right-sided abdominal structures.