Successful preoperative diagnosis of a rare bowel obstruction: cecal volvulus.
Cecal volvulus is an uncommon cause of intestinal obstruction and is rarely diagnosed correctly at the time of presentation. We report a case in an 86-year-old man presented with an abrupt onset of lower abdominal distension, preoperatively diagnosed as cecal volvulus by abdominal CT. Surgery revealed a 20 cm length of the closed-loop that had rotated in a counter-clockwise rotation. A right hemicolectomy with colonic fixation was subsequently performed; early diagnosis enabled this procedure to be performed in a timely fashion. This case demonstrates the need for clinicians to consider cecal volvulus as a possible cause of acute abdomen. Performing abdominal CT studies in such patients may enable early diagnosis and prompt surgical intervention.
Hashimoto
Yasushi
Y
Department of Surgery, Akiota-town Togochi Hospital, 800-1 Oaza-Togochi, Akiota-cho, Yamagata-gun, Hiroshima 731-3810, Japan. hashimoto_yss@ybb.ne.jp
Shigemoto
Shigenori
S
Nakashima
Akira
A
Murakami
Yoshiaki
Y
Sueda
Taijiro
T
D000369:Aged, 80 and over; D002429:Cecal Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D003082:Colectomy / Q000379:methods; D003937:Diagnosis, Differential; D006801:Humans; D045822:Intestinal Volvulus / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D011300:Preoperative Care / Q000379:methods*; D011860:Radiography, Abdominal; D035583:Rare Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed