Cecal Volvulus Resolved Spontaneously

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

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.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / etiology
  • Cecal Diseases* / diagnostic imaging
  • Cecal Diseases* / surgery
  • Female
  • Humans
  • Intestinal Obstruction* / diagnostic imaging
  • Intestinal Obstruction* / etiology
  • Intestinal Obstruction* / surgery
  • Intestinal Volvulus* / diagnostic imaging
  • Intestinal Volvulus* / surgery
  • Middle Aged
  • Tomography, X-Ray Computed