Atypical Presentation of Cecal Volvulus

Cureus. 2023 Oct 19;15(10):e47343. doi: 10.7759/cureus.47343. eCollection 2023 Oct.

Abstract

Cecal volvulus, despite being the second most common type of intestinal volvulus after sigmoid volvulus, frequently gets underdiagnosed in clinical practice. Further, management of this intestinal pathology, which requires a considerable amount of expertise, could be lacking due to the similarities in presentation with other intestinal obstructive pathologies, or the infrequency associated with the performance of required diagnostic and therapeutic procedures. We describe a case of a 47-year-old female who presented with acute cecal volvulus. In this case, prompt surgical intervention ensured the best possible outcome with preservation of the cecum via a less sophisticated surgical approach. It therefore becomes apparent that there exists other surgical options in the optimal management of cecal volvulus that ensure no part of the bowel is lost, although this is time-bound.

Keywords: acute bowel obstruction; cecal volvulus; cecopexy; ct -scan; non-specific abdominal pain.

Publication types

  • Case Reports