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Case Reports
. 2021 May;103(5):e177-e179.
doi: 10.1308/rcsann.2020.7114. Epub 2021 Mar 8.

Caecal volvulus on a background of recurrent caecocolic torsion

Affiliations
Case Reports

Caecal volvulus on a background of recurrent caecocolic torsion

C H Knowles et al. Ann R Coll Surg Engl. 2021 May.

Abstract

Caecal volvulus is an uncommon cause of intestinal obstruction. Diagnosis may be challenging due to lack of clinical familiarity, variable clinical presentation and misinterpretation of diagnostic imaging and procedures. This case report describes a 29-year-old male with acute intestinal obstruction secondary to caecal volvulus, on a background of recurrent caecocolic torsion. Diagnosis required repeat axial imaging and endoscopy when initial imaging studies were misinterpreted.

Keywords: Caecum; Intestinal volvulus.

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Figures

Figure 1
Figure 1
Computed tomography Scout view showing distended bowel loops. The pelvic position of the caecum resulted in it being misidentified as the sigmoid colon.
Figure 2
Figure 2
Showing faecally loaded ‘sigmoid’ (actually caecum)

References

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