Cecal Volvulus a rare cause of Intestinal obstruction: Our experience and literature review

Author(s): Fiordaliso Michele, Ngjelina Jonel, De Marco Flavia Antonia, Paolo Panaccio, Farrah Ribhia,Shadi Ahmad, Mevlüt Karaorman, Kore Drini

Cecal volvulus represents 25-40% of all colonic volvulus. Symptoms include abdominal distension, constipation, nausea and vomiting where it may be intermittent. Abdominal X-rays and computed tomography (CT) may help with diagnosis and recommended treatment is resection of mobile caecum. Although rarely identified as a source of abdominal pain, cecal volvulus has clinical significance as it can lead to a number of serious complications including bowel obstruction, perforation and ischemia. We report here on our experience and also examine the relevant literature to differentiate cecal volvulus from other forms of bowel obstruction. General surgeons should be aware of this disease and consider it in the differential diagnosis of acute abdomen.