title: Cecal volvulus associated with intestinal malrotation presenting as postoperative intestinal obstruction.
abstract: OBJECTIVE
  To report a case of intestinal malrotation predisposing to cecal volvulus following nonabdominal surgery in an adult.
  A 23-year-old male with known anorectal malformation developed a postoperative intestinal obstruction following percutaneous nephrolithotomy for left renal calculus. Computed tomography of the abdomen revealed a grossly dilated cecum (9 cm) with ileocecal junction on the left side and small bowel loops on the right side of the abdomen. The patient underwent emergency exploratory laparotomy and retroperitonealization cecopexy. Bowel functions were normal at the follow-ups.
  
  
  CONCLUSIONS
  This case highlights the importance of suspecting cecal volvulus even following nonabdominal surgery in the presence of predisposing factors.
authors.affiliation: Department of General Surgery, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
authors.forename: Arunandhichelavan
authors.initials: A
authors.lastname: Arulmolichelvan
authors.forename: Arjun
authors.initials: A
authors.lastname: Sivaraman
authors.forename: Ashok
authors.initials: A
authors.lastname: Muthukrishnan
mesh_terms: D000328:Adult; D002432:Cecum / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology; D045822:Intestinal Volvulus / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology*; D008297:Male; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects; D011183:Postoperative Complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography