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Case Reports
. 2017 Oct 19:28:162.
doi: 10.11604/pamj.2017.28.162.12237. eCollection 2017.

[Volvulus of the cecum: a rare cause of intestinal occlusion: about two cases]

[Article in French]
Khalid Mazine  1 , Hicham Elbouhaddouti  1 , Imane Toughrai  2 , Ouadie Mouaqit  1 , Elbachir Benjelloun  1 , Abdelmalek Ousadden  1 , Khalid Ait Taleb  1
Affiliations
Case Reports

[Volvulus of the cecum: a rare cause of intestinal occlusion: about two cases]

[Article in French]
Khalid Mazine et al. Pan Afr Med J. .

Abstract
in English, French

The cecum is the second part of the colon that is most commonly affected by the volvulus after sigmoid colon and before left corner and the transverse colon. This condition occurs in patients with abnormally mobile cecum. Volvulus is characterized by torsion or tilt. Clinically, it appears as bowel obstruction due to acute strangulation. Abdominal x-ray without treatment and abdominal CT scan are the radiological procedures of choice in the diagnosis of volvulus of the cecum. Treatment is based on emergency surgical excision of the cecum and of the terminal ileum. We report two cases of patients with volvulus of the cecum admitted to the emergency department with acute intestinal obstruction. In both patients, the diagnosis was confirmed by abdomino-pelvic CT scan and the treatment was based on ileocolic resection with immediate restoration of the intestinal continuity. The postoperative course was uneventful.

Le Cæcum est, en fréquence, la deuxième partie du colon concernée par le volvulus après le sigmoïde et avant l'angle gauche et le côlon transverse. Cette affection survient sur des cæcums anormalement mobiles. Le mécanisme du volvulus est la torsion ou la bascule. Le tableau clinique est celui d'une occlusion intestinale aiguë par strangulation. L'abdomen sans préparation (ASP) et la TDM abdominale sont les examens radiologique de premier choix pour le diagnostic. Le traitement consiste en une chirurgie en urgence avec résection du cæcum et de l'iléon terminal. Nous rapportons deux cas de volvulus du cæcum admis aux urgences dans un tableau d'occlusion intestinale aiguë, le diagnostic était confirmé chez les deux patients par un scanner abdomino-pelvien et le traitement consistait en une résection iléo-colique avec rétablissement immédiate de continuité, les suites post opératoires étaient simples.

Keywords: Intestinal occlusion; cecum; ileocecal resection; volvulus.

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Figures

Figure 1
Figure 1
TDM abdominale premier patient
Figure 2
Figure 2
Reconstruction frontale TDM abdominale premier patient
Figure 3
Figure 3
TDM abdominale deuxième patient
Figure 4
Figure 4
Image per opératoire premier patient
Figure 5
Figure 5
Image per opératoire deuxième patient
See this image and copyright information in PMC

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