title: Cecum volvulus complicated by septic jaundice.
abstract: Cecal volvulus is an uncommon cause of acute bowel obstruction in adults. The mechanism is torsion of the enlarged, poorly-fixed or hypermobile cecum. Patients with this condition may display highly variable clinical presentations, ranging from intermittent, self-limiting abdominal discomfort to acute abdominal pain associated with intestinal strangulation and sepsis. The treatment needs to be individualized for each case, but surgical management is required in almost every case. In the presence of gangrene or perforation of the cecum, resection and primary ileocolic anastomosis is recommended. However, in non-complicated cases detorsion and cecopexy are adequate. The authors report one case of cecal volvulus in a 55-year-old women treated with cecopexy that complicated with septic jaundice.
authors.affiliation: Surgery Service, Hospital de Guarnição de João Pessoa, João Pessoa, Paraíba, Brazil. t.paulo@bol.com.br
authors.forename: Thales Paulo
authors.initials: TP
authors.lastname: Batista
authors.forename: Jânio Cipriano
authors.initials: JC
authors.lastname: Rolim
authors.forename: Allysson Antonio Ribeiro
authors.initials: AA
authors.lastname: Gomes
authors.forename: Waneska Lucena Nóbrega de
authors.initials: WL
authors.lastname: Carvalho
authors.forename: Renato José dos
authors.initials: RJ
authors.lastname: Santos
mesh_terms: D002429:Cecal Diseases / Q000150:complications*; D005260:Female; D006801:Humans; D045822:Intestinal Volvulus / Q000150:complications*; D007565:Jaundice / Q000209:etiology*; D008875:Middle Aged; D018805:Sepsis / Q000209:etiology*