Cecal Volvulus Following Elective Laparoscopic Cholecystectomy: A Case Report.
Cecal volvulus is characterized by torsion of the cecum around its own mesentery. However, cecal volvulus rarely develops soon after elective laparoscopic cholecystectomy. We report on a case of cecal volvulus that developed in a 54-year-old women 1 day after elective laparoscopic cholecystectomy and was successfully treated via colonoscopic decompression. The symptoms gradually improved in conjunction with recovery from postoperative ileus. Whether the incidence of volvulus has increased with the use of laparoscopic procedures, including laparoscopic cholecystectomy, has yet to be determined. Considering the current trend toward minimally invasive surgery, cecal volvulus should be considered in patients who have postoperative abdominal pain and distention.
Department of Surgery, Nippon Medical School.
Yoshiaki
Y
Mizuguchi
Yasuhiro
Y
Mamada
Tetsuya
T
Shimizu
Tomohiro
T
Kanda
Hiroyasu
H
Furuki
Yuichi
Y
Akama
Nobuhiko
N
Taniai
Yoshiharu
Y
Nakamura
Masato
M
Yoshioka
Akira
A
Matsushita
Yoichi
Y
Kawano
Eiji
E
Uchida
D000328:Adult; D000368:Aged; D002429:Cecal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D003113:Colonoscopy; D017558:Elective Surgical Procedures / Q000009:adverse effects*; D005260:Female; D006801:Humans; D045822:Intestinal Volvulus / Q000000981:diagnostic imaging / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D014057:Tomography, X-Ray Computed