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. 2021 Aug:85:106186.
doi: 10.1016/j.ijscr.2021.106186. Epub 2021 Jul 8.

Cecal volvulus in an adult male: A rare cause of intestinal obstruction: A case report

Franck Katembo Sikakulya  1 , Sonye Magugu Kiyaka  2 , Robert Masereka  3 , Patrick Onyai  4 , Xaviour Francis Okedi  2 , Philip Anyama  3
Affiliations

Cecal volvulus in an adult male: A rare cause of intestinal obstruction: A case report

Franck Katembo Sikakulya et al. Int J Surg Case Rep. 2021 Aug.

Abstract

Introduction and importance: Cecal volvulus is uncommon cause of intestinal obstruction. It affects the ascending colon and the terminal part of the ileum which are twisted around the mesenteric pedicle.

Case presentation: We report the case of 37-year-old male who underwent emergency laparotomy for intestinal obstruction and found a twisted cecum with ileal knotting and anterior part of cecum necrosed. Resection of cecum and terminal ilium followed by end-to-end anastomosis of ileum to ascending colon were performed.

Clinical discussion: Cecal volvulus remains an uncommon cause of intestinal obstruction with a surgical incidence of 2.8-7.1 cases per year per 1 million people. Delay in diagnosis can lead to complications such as necrosis and perforation of the cecum.

Conclusion: We present a rare case of cecal volvulus in a 37-year-old male with necrosed part of the cecum without perforation. Early diagnosis and management can prevent perforation and reduce morbidity related to the cecal perforation.

Keywords: Bowel obstruction; Manual untwisting; Resection and anastomosis; Twisted cecum.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Fig. 1
Fig. 1
Photography of a plain radiography revealed distended bowel in central and the left abdomen.
Fig. 2
Fig. 2
Photos of intra-operative findings showing twisted cecum and terminal ileum with mesenteric concerned.
Fig. 3
Fig. 3
Photos of intra-operative findings showing normal appendix and necrosed anterior part of the cecum.
See this image and copyright information in PMC

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