Cecal volvulus associated with intestinal malrotation presenting as. Plain abdominal radiography and abdominal computed tomography ct findings were suggestive of sigmoid volvulus. A rare case of cecal volvulus in cerebral palsy that was preoperatively diagnosed and surgically treated without complications is herein reported. She had undergone operative fundoplication several years earlier and was referred to our institute for treatment of intestinal obstruction.
Cecal volvulus accounts for 25% to 40% of volvulus of the large bowel causing obstruction with varying degrees of presentation from obstructive symptoms to bowel necrosis and perforation. An 81yearold caucasian lady with permanent atrial fibrillation af was admitted with palpitations and fast af. This case demonstrates the need for clinicians to consider cecal volvulus as a possible cause of acute abdomen. Jan 23, 2014 in conclusion, this case report of caecal volvulus postabdominoplasty is the first of its kind. Resection without detorsion and reperfusion is the favored option for gangrenous bowel. Caecal volvulus is reported to be associated with previous abdominal surgery in most cases. A 75year old male presented to the emergency room with worsening abdominal pain and distension. Resection and anastomosis is the proposed choice of the operation depending on the general condition of the patient.
Download as pdf print show related cases notify admin clinical history a 71 year old lady presented to the accident and emergency department with complaints of severe abdominal pain and constipation. Abdominal computed tomography studies in such patients may enable early diagnosis. In addition to its rarity, lack of familiarity causes diagnostic doubt and consequently delays in treatment. We reported here two different types of caecal volvulus. Cecal volvulus is characterized by torsion of the cecum around its own mesentery. A cecal volvulus is the rotation or torsion of a mobile cecum and ascending colon, which causes approximately 1 to 3 percent of all large bowel obstructions. Cecal volvulus is the rotation of a mobile cecum resulting in a large bowel obstruction. Caecal volvulus is a relatively uncommon cause of bowel obstruction. Computed tomography images are included, which demonstrate key features that are pathognomonic for this condition. We report on a case of cecal volvulus that developed in a 54yearold women 1 day after elective laparoscopic cholecystectomy and was successfully treated via colonoscopic decompression. Cecal bascule is a rare type of volvulus of the colon and requires a mobile cecum and ascending colon, which could be due to congenital or acquired anatomic abnormalities.
Case report open access singlesite laparoscopic right hemicolectomy for acute cecal volvulus. On evaluation child was found to have cecal volvulus and associated malrotation. Most of the cecal volvulus reports are from asia,1,5,6 and the disease occurs less frequently than sigmoid volvulus, which is also common in. He was successfully treated with singlesite laparoscopic decompression by inserting a catheter through the amputated appendix, detorsion, and hemicolectomy. We report a case of cecal volvulus in a 35yearold male patient. Oct 31, 2019 the only effective treatment for cecal volvulus is surgical intervention. Singlesite laparoscopic right hemicolectomy for acute. Gastric volvulus is generally considered to be a rare condition and is infrequently reported, although it was described by berti as early as 1866. Although the finding may be coincidental, we postulate that our patient had an inherently mobile and displaced caecum, which in combination with a. The patients symptoms resolved quickly after colonoscopic reduction and elective laparoscopic surgery was performed 18 days after admission.
Volvulus of the cecum is an axial twist or folding of the bowel on its mesentery resulting in acute intestinal obstruction. The only effective treatment for cecal volvulus is surgical intervention. She took bisoprolol and warfarin with subtherapeutic international normalised ratio. Case report a 54yearold woman presented to medicine outpatient department with weakness in left upper and lower limbs and constipation. Cecal volvulus is medical emergency that requires high index of clinical suspicion for its. It is associated with significant morbidity and mortality if left undiagnosed. However, cecal volvulus is a rare complication of laparoscopic cholecystectomy. The incidence of cecal volvulus during pregnancy has been. Cecal volvulus is a surgical emergency requiring urgent laparotomy. Images of cecal volvulus from a strangulating fallopian. Cecal volvulus is a rare cause of intestinal obstruction. A high index of suspicion is necessary to diagnose sigmoid volvulus in.
Laparoscopic surgery for repeated cecal volvulus with. Of the 12 prior reports of intestinal volvulus following laparoscopic procedures, 8 of these followed the laparoscopic cholecystectomy, of which two were cecal. Case of cecal volvulus successfully treated with endoscopic. A high index of suspicion is necessary to diagnose. To report a case of intestinal malrotation predisposing to cecal volvulus. Diagnosis is difficult and, if delayed, the results may be intestinal ischemia, perforation, sepsis, and even death. Singlesite laparoscopic right hemicolectomy for acute cecal. Cecal volvulus as an uncommon cause of acute intestinal obstruction is axial twist of the cecum and terminal ileum around their mesentery. Caecal volvulus is an infrequently encountered clinical condition and an uncommon cause of intestinal obstruction. Full text pdf 114k abstracts references10 a rare case of cecal volvulus that was preoperatively diagnosed and surgically treated is herein reported. Cecal volvulus is also rare among pediatric patients and is often seen in neurologically handicapped patients 6. The patient developed acute kidney injury of the renal allograft due to external compression of the allograft ureter coincident with a cecal volvulus.
Cecal volvulus is characterized by torsion of the cecum around its own mesentery and often results in obstruction, ischemia, necrosis, and perforation2. Browne 8 reports the case of an adolescent female with right lower. Caecal volvulus is a rare cause of intestinal obstruction, with the bascule subtype accounting for volvulus. Caecal volvulus is a rare cause of intestinal obstruction, with the bascule subtype accounting for a case report section. Acute renal allograft dysfunction due to cecal volvulus. In this case report, we describe an unusual cause of acute renal allograft injury due to external compression of the allograft ureter. Laparoscopic cecopexy for cecalvolvulus after laparoscopy. Sigmoid volvulus is frequently reported in the volvulus belt middle east, africa, the indian subcontinent, turkey, and south america and is the third leading cause of large bowel obstruction in north america. This is the first report of laparoscopic surgery for an advanced. Human subjects were not used for this case report and, as such, informed consent was not required. In this report, we present a 39 yearold patient who came with cecal volvulus, and we will discuss this very rare entity. Plain radiographs were suggestive of a large bowel obstruction due to volvulus. Lack of familiarity with this condition is a factor.
Cecal volvulus is a very rare cause of large bowel obstruction lbo that. She was diagnosed with caecal volvulus which was complicated with gangrene of the intestine. In this report, we present a 39 yearold patient who came with cecal volvulus, and we will discuss this very rare entity keywords. Cecal volvulus as an uncommon cause of acute intestinal obstruction is due to axial twist of the cecum and terminal ileum around their mesentery. If untreated, cecal volvulus can progress to bowel ischemia, necrosis, or perforation.
Although the finding may be coincidental, we postulate that our patient had an inherently mobile and displaced caecum, which in combination with a reduction in volume of the peritoneal cavity during abdominoplasty resulted in caecal volvulus and. We present the first reported case of caecal volvulus followingassociated with acute cholecystitis. Cecal volvulus caused by internal herniation after rouxen. In case 1, a 32yearold woman who had cerebral palsy complained of abdominal fullness. Cecal volvulus is a rare cause of acute abdominal pain and intestinal obstruction. In this paper, we describe two ceval volvulus cases with their clinical. We present the case of a 58yearold female who presented to our surgical department with symptoms of intestinal obstruction. Isolated reports of emergency laparoscopic cecopexy have been. In this paper, we report a case of cecal volvulus seen in a 31yearold saudi male presented with vomiting, abdominal pain, and distension. Caecal volvulus is a malrotational abnormality of the intestine that causes obstruction. Delay in diagnosis is one of the causes of this high mortality. Pdf cecal bascule as a rare presentation of cytomegalovirus.
We herein report a case of cecal volvulus successfully treated with endoscopic colopexy. The clinical manifestations, diagnosis, and management of cecal volvulus are discussed here. An 85yearold woman was admitted to our hospital because of abdominal pain and distension concomitant with nausea and vomiting. When cecal volvulus exists, obstruction leads to distension, ischemia, gangrene and perforation, and therapy should be imminent. Cecal volvulus is the second most common type of colonic volvulus, accounting for 1040% of colonic volvulus. We report on a case of cecal volvulus that developed in a 54yearold women 1 day after elective laparoscopic cholecystectomy and was successfully treated via colonoscopic.
We report a case of a 20year old gravida, at 27 weeks of gestation, complicated with cecal volvulus. Cecopexy, a reemerging treatment for cecal volvulus. During evaluation of left hemiparesis she progres sively developed abdominal distension, vomiting, and constipation. We present the first reported case of caecal volvulus followingassociated with. A severely dilated colon was detected on abdominal roentgenogram, and abdominal ct and colonic enema strongly. Cecal volvulus is a rare cause of acute abdominal pain and intestinal obstruction, which if left untreated can lead to sepsis and death. It is an uncommon problem in children and adolescents, and is rarely considered a diagnosis in this group. An unusual case of cecal volvulus arising from a strangulating fallopian tube is presented. Intestinal volvulus following laparoscopic surgery. However, cecal volvulus rarely develops soon after elective laparoscopic cholecystectomy. Here, we describe a case of cecal volvulus in a 54yearold woman after laparoscopic cholecystectomy. A 45year old man, who had been treated for cerebral palsy as a result of a neonatal cerebral hemorrhage, was admitted to our hospital because of abdominal pain and vomiting. Management of cecal volvulus department of surgery at.
Acute intestinal obstruction in pregnancy is a rare. Intestine, cecum, volvulus, obstruction, twisted, oman. She underwent an emergency colonoscopy, and the scope passed easily through the sigmoid colon and reached the ascending colon quickly. A case report masaki miyao1, tsubasa takahashi1, mikihiro okusa 2, makoto kusakabe, ryotaro takano 2, yuka masuda, mampei kawashima2and hiroshi yoshida2 1department of pediatric surgery, nippon medical school musashi kosugi hospital, kanagawa, japan. Cases of acute abdomen, regardless of age, race, and ethnicity, should be examined to exclude volvulus from differential diagnoses. We report an unusual case of invasive cytomegalovirus colitis presenting as cecal bascule in a kidney transplant recipient. A case report masaki miyao1, tsubasa takahashi1, mikihiro okusa 2, makoto kusakabe, ryotaro takano 2, yuka masuda, mampei kawashima2and hiroshi yoshida2 1department of pediatric surgery, nippon medical school musashi kosugi hospital, kanagawa. If unrecognized, it can result bowel perforation and fecal peritonitis. An attempt to detorse the volvulus and decompress the colon endoscopically failed, after which the patient was taken for an exploratory laparotomy.
A research paper on some causes of pregnancy complications. Here we report a 15 year old male child presenting with acute onset pain abdomen with vomiting. The case report has been reported in line with the scare criteria 7. The diagnosis of cecal volvulus was confirmed by ct scan.
The incidence of cecal volvulus during pregnancy has been reported in some centres to be between 1. Surgery is the only confirmatory method to diagnose and treat this lifethreatening condition. Fast atrial fibrillation and caecal volvulus a case. We present the case of a 55yearold female who underwent a rouxeny gastric bypass in 2003 and presented to the emergency department with worsening abdominal pain, distention and obstipation. Jul 04, 2019 cecal volvulus is a rare cause of intestinal obstruction. Laparoscopic cecopexy for mobile cecum syndrome manifesting. We report a case of a 64 year old woman patient admitted to the emergency department for bowel obstruction.
Mar 27, 2008 a 44yearold woman was admitted to our hospital for investigation and treatment of sudden abdominal pain and distention. Diagnosis and treatment of caecal volvulus postgraduate. Based on these findings, we diagnosed cecal volvulus caused by mobile cecum syndrome. Cecal volvulus is a very rare cause of large bowel obstruction lbo that develops when a part of the bowel twists around the mesentery. Here, we report a case of a 35yearold female patient who presented with. Around 36 h later, she developed abdominal pain and vomiting. Its clinical presentation is highly variable ranging from intermittent relenting abdominal pain, to severe acute pain associated with sepsis and bowel strangulation.
In general, an incomplete malrotation is fundamental for cecal volvulus to happen, on the grounds that. It is the second most common large bowel volvulus after sigmoid colon. Recurrent bowel obstruction caused by cecal volvulus. Patients with this condition may present with highly variable clinical presentations ranging from intermittent, self limiting abdominal pain to acute abdominal pain associated with intestinal strangulation and sepsis. Cecal volvulus caused by internal herniation after rouxeny. We present a case of cecal volvulus in a 50 years old female. Caecal volvulus is an uncommon cause of closed loop intestinal obstruction which can lead to caecal gangrene and high mortality. Patients ages at presentation, the treatment of choice, and survival differ by reports chronologically as well as geographically2,3. A plain abdominal radiography showed a giant colonic gas shadow. Ct showed a dilated cecum and small intestine without bowel strangulation as well as acute pneumonia. Pdf colonic volvulus is a condition in which part of the colon twists around its axis. However, stenosis with concentricity of the fold was observed in the cecum, which was shifted upward and to the left.
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