Related Experiment Video
Updated: Aug 13, 2026
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Caecal Volvulus: A Report of Three Paediatrics Cases
Benmassaoud Zineb1, Fatoumata Binta Baldé1, Othmane Alaoui1,2
1Department of Pediatric Surgery, Hassan II University Hospital, Sidi Mohammed Ben Abdellah University, Faz, Morocco.
Insights
Caecal volvulus, a rare condition in children, requires prompt management. Surgical interventions like de-rotation, cecopexy, or resection with anastomosis lead to good outcomes, emphasizing its emergency nature.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Abdominal Emergencies
Background:
- Caecal volvulus is a rare but serious condition in children, often associated with intestinal malrotation or lack of adhesion.
- It presents as an acute or sub-acute intestinal obstruction, with risks of necrosis and perforation.
Purpose of the Study:
- To present three pediatric cases of caecal volvulus.
- To discuss the diagnostic approaches and surgical management strategies.
- To highlight the importance of timely intervention for favorable outcomes.
Main Methods:
- Case series presentation of three children diagnosed with caecal volvulus.
- Diagnostic modalities included ultrasound, computed tomography (CT) scan, and perioperative findings.
- Surgical management involved de-rotation, cecopexy, and resection with anastomosis.
Main Results:
- Three pediatric patients (ages 6 and 11) presented with caecal volvulus.
- Diagnosis was confirmed via ultrasound, CT scan, and perioperative findings.
- Surgical interventions resulted in good clinical evolution for all patients.
Conclusions:
- Caecal volvulus is a rare pediatric surgical emergency requiring prompt diagnosis and intervention.
- Management strategies vary based on findings, including de-rotation, cecopexy, or resection and anastomosis.
- Early surgical management is crucial to prevent complications and ensure favorable outcomes.
Abstract:
Caecal volvulus is favoured by the lack of caecal adhesion and intestinal malrotation. According to the per operation findings, the treatment consists of a de-rotation with or without cecopexy. We present the three cases of caecum volvulus in children and discuss our management. Case 1: 11-year-old girl admitted for caecal volvulus in an acute occlusive syndrome picture. There was caecal volvulus and atresia of the volvulated area. We performed resection and end-to-end anastomosis. Good evolution. Case 2: 6-year-old girl admitted for caecal volvulus in an acute occlusive syndrome picture. We performed caecopexy at the right parietal-colic gutter by three interrupted stitches. Good evolution. Case 3: 6-year-old girl admitted for caecal volvulus in an acute sub-occlusive syndrome picture with hypovolemic choc stage. There were suffering areas and necrosis of the caecum, a part of the ascending colon and iléal loops. We resected the gangrene part of the digest if tract and performed end-to-end ileocolic anastomosis. Good evolution. Caecal volvulus is rare. In our series, a patient had an ultrasound diagnosis. The diagnosis of caecum volvulus was made by computed tomography scan to the second one. The third patient had a perioperative diagnosis which is frequently reported in the literature. Management varies from the simple de-rotation with appendectomy to caecopexy. Caecal volvulus is a therapeutic emergency because the risk of necrosis and perforation is obvious. With proper support, the overall evolution is good.
Related Concept Videos
01:07Intestinal Obstruction II: Pathophysiology
01:19Appendicitis
01:27Diverticular Disease of the Colon
01:22Appendicitis-I: Introduction
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...