title: [A rare case of coecal volvulus after colonoskopy due to a mobile coekum - diagnosis, surgical therapy and postoperative complications].
abstract: Colonoscopy, either performed as screening or as a therapeutic proceedure, is, in general, very safe with only a few cases of serious complications. Most cases of bleeding after endoscopic polypectomy can be safely managed endoscopically. The rare cases of colonic perforations still have to be managed by surgical intervention. The postpolypectomy-coagulation syndrome and a cecal volvulus are very rare complicatoions after colonoscopy. In the current manuscript, we describe a rare case of a cecal volvulus after routine colonoscopy due to an unknown mobile coecum as a predisposition. We discuss the endoscopic, clinical and radiological findings of the patient. Moreover, we describe the performed surgical procedure and the further clinical course of the patient. A cecal volvulus should always be considered as a possible rare, but serious, complication in the differential diagnosis of abdominal pain after colonoscopy. The standard therapy of a cecal volvulus is the right hemicolectomy. As an alternative, a coecopexy without resection could be performed as long as the colonic wall is still vital.
authors.affiliation: Klinik für Allgemein-, Viszeral- und Thoraxchirurgie, Bundeswehrkrankenhaus Ulm, Germany.
authors.forename: Christian
authors.initials: C
authors.lastname: Beltzer
authors.affiliation: Klinik für diagnostische und interventionelle Radiologie und Neuroradiologie, Bundeswehrkrankenhaus Ulm, Germany.
authors.forename: Axel
authors.initials: A
authors.lastname: Geiger
authors.affiliation: Klinik für Allgemein-, Viszeral- und Thoraxchirurgie, Bundeswehrkrankenhaus Ulm, Germany.
authors.forename: Roland
authors.initials: R
authors.lastname: Schmidt
authors.affiliation: Klinik für diagnostische und interventionelle Radiologie und Neuroradiologie, Bundeswehrkrankenhaus Ulm, Germany.
authors.forename: Burkhardt
authors.initials: B
authors.lastname: Danz
authors.affiliation: Klinik für Allgemein-, Viszeral- und Thoraxchirurgie, Bundeswehrkrankenhaus Ulm, Germany.
authors.forename: Amrei
authors.initials: A
authors.lastname: Maier
authors.affiliation: Klinik für Allgemein-, Viszeral- und Thoraxchirurgie, Bundeswehrkrankenhaus Ulm, Germany.
authors.forename: Richard
authors.initials: R
authors.lastname: Karpa
authors.affiliation: Praxis Ludwig & Dikopoulos, Innere Medizin und Gastroenterologie, Dornstadt, Germany.
authors.forename: Nektarios
authors.initials: N
authors.lastname: Dikopoulos
mesh_terms: D000236:Adenoma / Q000175:diagnosis / Q000601:surgery; D015984:Causality; D002429:Cecal Diseases / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D002432:Cecum / Q000002:abnormalities* / Q000601:surgery; D003111:Colonic Polyps / Q000175:diagnosis / Q000601:surgery; D003113:Colonoscopy / Q000009:adverse effects*; D003937:Diagnosis, Differential; D004598:Electrosurgery; D006801:Humans; D045822:Intestinal Volvulus / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000175:diagnosis / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D012086:Reoperation; D017792:Surgical Stapling; D013529:Surgical Wound Dehiscence / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D014057:Tomography, X-Ray Computed