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Case Reports
. 2021 Apr 24;2021(4):rjab148.
doi: 10.1093/jscr/rjab148. eCollection 2021 Apr.

Caecal volvulus and jejunostomy: challenging diagnostic

A Morera-Grau  1 , E Membrilla-Fernández  1   2 , A M González-Castillo  1   2 , A Pelegrina-Manzano  1 , M A Guerrero-Ortiz  1 , C Téllez-Marquès  1 , M J Pons-Fraguero  1 , J Guzmán-Ahumada  1   2 , M Pera-Román  1   2 , J J Sancho-Insenser  1   2
Affiliations
Case Reports

Caecal volvulus and jejunostomy: challenging diagnostic

A Morera-Grau et al. J Surg Case Rep. .

Abstract

Caecal volvulus represent the 20-40% of colonic volvulus, being the second most frequent localization. It causes intestinal occlusion symptomatology (nausea, vomiting, abdominal distension). We present a case of 45-year-old women with feeding jejunostomy tube due to connatal anoxia. She arrives at A&E after 12 h of vomits and abdominal pain. The CT scan shows a small intestine dilation that suggested a small intestine volvulus. A laparotomy is performed showing a caecal volvulus, so ileo-cequectomy with primary anastomosis is performed. After several complications, she was discharged after 60 days of hospital stay. Caecal volvulus can be challenging to diagnose by clinic, because it can be hardly differenced from other intestinal occlusion causes. CT scan can be useful to reach the diagnostic and see signs of tissue suffering. In contrast with sigma volvulus, endoscopic treatment has not shown any benefit to solve it.

Keywords: bowel obstruction; cecum; colon; volvulus.

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Figures

Figure 1
Figure 1
Image of the volvulus in the abdominal X-rays.
Figure 2
Figure 2
Sagital plane of cecum volvulus on CT scan.
Figure 3
Figure 3
Axial plane of cecum volvulus on CT scan.
See this image and copyright information in PMC

References

    1. Consorti ET, Liu TH. Diagnosis and treatment of caecal volvulus. Postgrad Med J 2005;81:772–6. - PMC - PubMed
    1. Lung BE, Yelika SB, Murthy AS, Gachabayov M, Denoya P. Cecal bascule: a systematic review of the literature. Tech Coloproctol 2018;22:75–80. - PubMed
    1. Perrot L, Fohlen A, Alves A, Lubrano J. Management of the colonic volvulus in 2016. J Visc Surg 2016;153:183–92. - PubMed
    1. Bandurski R, Zareba K, Kedra B. Cecal volvulus as a rare cause of intestinal obstruction. Pol Przegl Chir 2011;83:515–7. - PubMed
    1. Printer KJ. Mobile cecal syndrome in the adult. Am Surg 1976;42:204–5. - PubMed

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