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Case Reports
. 2021 Mar 15;60(6):851-854.
doi: 10.2169/internalmedicine.5532-20. Epub 2020 Oct 14.

Cecal Volvulus Resolved Spontaneously

Yosuke Kunishi  1 , Megumi Tsukamoto  1 , Takafumi Yanagibashi  1 , Yuki Sodani  1 , Kazuhiro Niwa  1 , Koichiro Yoshie  2 , Yoshio Kato  1 , Shin Maeda  3
Affiliations
Case Reports

Cecal Volvulus Resolved Spontaneously

Yosuke Kunishi et al. Intern Med. .

Abstract

Cecal volvulus is an uncommon cause of colonic obstruction. First-line treatment for cecal volvulus is surgery, as nonoperative management is rarely achievable. We herein report an extremely rare case of a patient with spontaneously resolved cecal volvulus; no recurrence occurred without elective surgery. A 47-year-old woman presented with acute lower abdominal pain. She was misdiagnosed with small bowel obstruction and treated conservatively. A few hours later, she was correctly diagnosed with cecal volvulus. Subsequently, her symptoms and computed tomography findings of cecal volvulus completely disappeared. She refused elective surgery, but no recurrence occurred during five months of follow-up.

Keywords: bowel dilatation; cecal volvulus; conservative treatment; mobile cecum syndrome; spontaneous.

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Conflict of interest statement

The authors state that they have no Conflict of Interest (COI).

Figures

Figure 1.
Figure 1.
CT scan in axial (A) and coronal planes (B), (C) showing dilated cecum (arrow) along the ascending colon. (B) The bird beak sign (white arrowhead), and (C) the central appendix sign (abnormal position of the appendix near midline; black arrowhead) are presented. CT: computed tomography
Figure 2.
Figure 2.
CT scan performed after the cecal volvulus resolved spontaneously. The cecum is not dilated (arrowhead). CT: computed tomograpy
Figure 3.
Figure 3.
Positional contrast enema showing dilated cecum reaching the left side of the abdomen without stenosis. These findings were suggestive of mobile cecum without volvulus.
See this image and copyright information in PMC

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