title: [Elective laparoscopic right colectomy for caecal volvulus: case report and literature review].
abstract: BACKGROUND
  Caecal volvulus is an uncommon cause of intestinal obstruction. Its clinical presentation is non-specific, with the diagnosis usually confirmed by barium enema and abdominal computed tomography. Treatment depends on many factors, and minimally invasive approaches are becoming the treatment of choice.
  
  
  METHODS
  A 54 years old female, admitted to the Emergency Department with clinical symptoms of intestinal obstruction. On physical examination she had a palpable, firm, and tympanitic mass in the right abdomen, with peritoneal irritation. The radiographs of the abdomen, barium enema and abdominal computed tomography showed caecal volvulus. As she showed a full remission after the barium enema, with no clinical or biochemical data of systemic inflammatory response syndrome or peritoneal irritation, she was discharged to her home. Two weeks later, a laparoscopic right hemicolectomy was performed with an ileo-transverse extracorporeal anastomosis. Her progress was satisfactory, and she was discharged 4 days after surgery due to improvement.
  
  
  CONCLUSIONS
  Caecal volvulus is a rare cause of intestinal obstruction, with high mortality rates, and is caused by excessive mobility of the caecum. Its incidence is increasing. Treatment depends on many factors. Early non-surgical untwisting, followed by an elective laparoscopic surgical procedure offers several advantages and reduces mortality.
authors.affiliation: Secretaría de Salud, Hospital Regional de Alta Especialidad de Ixtapaluca, Estado de México, México. Electronic address: dredvilla@me.com.
authors.forename: Moisés Marino
authors.initials: MM
authors.lastname: Ramírez-Ramírez
authors.affiliation: Hospital Ángeles del Pedregal, Ciudad de México, México.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Villanueva-Sáenz
authors.affiliation: Hospital Ángeles del Pedregal, Ciudad de México, México.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Ramírez-Wiella-Schwuchow
mesh_terms: D000714:Anastomosis, Surgical; D001466:Barium Sulfate; D002429:Cecal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D002908:Chronic Disease; D003082:Colectomy / Q000379:methods*; D003106:Colon / Q000098:blood supply; D003287:Contrast Media; D017558:Elective Surgical Procedures / Q000379:methods*; D004630:Emergencies; D004733:Enema; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D007082:Ileum / Q000601:surgery; D007415:Intestinal Obstruction / Q000209:etiology / Q000628:therapy; D045822:Intestinal Volvulus / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D007511:Ischemia / Q000150:complications; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D010538:Peritonitis / Q000150:complications; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media; D001466:Barium Sulfate
keywords: Caecal volvulus; Cirugía electiva; Colectomía laparoscópica; Computed tomography of the abdomen; Elective surgery; Laparoscopic colectomy; Tomografía de abdomen; Vólvulo cecal