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Summary
Cecal volvulus, a rare condition, has a 9.5% mortality rate. Primary resection of the right colon with ileotransverse colostomy is the recommended treatment to prevent recurrence.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Abdominal Surgery
Background:
- Cecal volvulus is a rare cause of intestinal obstruction.
- Diagnosis can be challenging, often requiring contrast imaging.
- Previous treatments have high recurrence rates.
Purpose of the Study:
- To review cases of cecal volvulus.
- To evaluate diagnostic methods.
- To determine the optimal treatment strategy.
Main Methods:
- Retrospective review of 21 cases of cecal volvulus.
- Analysis of clinical presentation, radiographic findings, and treatment outcomes.
- Comparison of different surgical interventions.
Main Results:
- Mortality rate was 9.5%.
- Right hemicolectomy was performed in 8 patients; only one had gangrenous changes.
- Radiographic diagnosis was suggestive on flat films and conclusive with contrast studies.
- Simple detorsion or cecopexy had high recurrence rates.
Conclusions:
- Primary resection of the right colon with ileotransverse colostomy is the treatment of choice for cecal volvulus.
- This approach offers the lowest recurrence rate and best outcomes.
- Early diagnosis and surgical intervention are crucial.