Cecal volvulus – a rare cause of acute abdomen with ileus

Czech version

Authors: P. Macan ¹; J. Fichtl ¹; V. Opatrný ¹; J. Moláček ¹; A. Fajfrová ²; M. Nováková ²; S. Paulusová ³
Authors‘ workplace: Chirurgická klinika Fakultní nemocnice Plzeň a Lékařská fakulta Univerzity Karlovy v Plzni, Česká republika ¹; Klinika zobrazovacích metod Fakultní nemocnice Plzeň a Lékařská fakulta Univerzity Karlovy v Plzni, Česká, republika ²; Lékařská fakulta Univerzity Karlovy v Plzni, Česká republika ³
Published in: Rozhl. Chir., 2024, roč. 103, č. 6, s. 232-235.
Category: Case Report
doi: https://doi.org/10.33699/PIS.2024.103.6.232–235

Overview

In this article, we present case reports of two patients admitted to the University Hospital in Pilsen for acute abdomen due to a disorder of the passage through the gastrointestinal tract (GIT). Both were indicated for surgery. The patients were diagnosed intraoperatively with rarely occurring cecal volvulus (CV). The findings required an ileocecal resection; nevertheless, both patients fully recovered despite the need the resection.

Keywords:

acute abdomen – cecal volvulus – ileus of the colon – passage disorders – ileocecal resection

Sources

Le CK, Nahirniak P, Qaja E. Cecal volvulus. 2022 Sep 12. In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing 2024.
Zeman M, Krška Z. Speciální chirurgie. 3. dopl. a přeprac. vyd. Praha, Galén 2014.
Ijezie N, Abolaji S. Atypical presentation of cecal volvulus. Cureus 2023 Oct 19;15(10):e47343. doi:10.7759/cureus. 47343.
Solis Rojas C, Vidrio Duarte R, García Vivanco DM, et al. Cecal volvulus: A rare cause of intestinal obstruction. Case Rep Gastroenterol. 2020 Apr 22;14(1):206–211. doi:10.1159/000506933.
Madiba TE, Thomson SR. The management of cecal volvulus. Dis Colon Rectum 2002 Feb;45(2):264–267. doi:10.1007/ s10350-004-6158-4.
Rokitansky C. Intestinal stranguration. Arch Gen Med. 1937;14:202–214.
Perret RS, Kunberger LE. Case 4: Cecal volvulus. AJR Am J Roentgenol. 1998 Sep;171(3):855,859,860. doi:10.2214/ajr. 171.3.9725339.
Moláček J, Křižan J, Třeška V. Volvulus lienální flexury tračníku. Rozhl Chir. 2005 Dec;84(12):602–604.
Halabi WJ, Jafari MD, Kang CY, et al. Colonic volvulus in the United States: trends, outcomes, and predictors of mortality. Ann Surg. 2014 Feb;259(2):293–301. doi: 10.1097/SLA.0b013e31828c88ac.
Kairys N, Skidmore K, Repanshek J, et al. An unlikely cause of abdominal pain. Clin Pract Cases Emerg Med. 2018 Mar 14;2(2):139–142. doi:10.5811/cpcem.2018.2.37073.
Hiltunen KM, Syrjä H, Matikainen M. Colonic volvulus. Diagnosis and results of treatment in 82 patients. Eur J Surg. 1992 Nov-Dec;158(11–12):607–611.
Dane B, Hindman N, Johnson E, et al. Utility of CT findings in the diagnosis of cecal volvulus. AJR Am J Roentgenol. 2017 Oct;209(4):762–766. Epub 2017 Aug 4. doi:10.2214/AJR.16.17715.
Consorti ET, Liu TH. Diagnosis and treatment of caecal volvulus. Postgrad Med J. 2005 Dec;81(962):772–776. doi: 10.1136/pgmj.2005.035311.
Kunishi Y, Tsukamoto M, Yanagibashi T, et al. Cecal volvulus resolved spontaneously. Intern Med. 2021 Mar 15;60(6):851–854. doi:10.2169/internalmedicine.5532-20. Epub 2020 Oct 14.
Friedman JD, Odland MD, Bubrick MP. Experience with colonic volvulus. Dis Colon Rectum 1989;32(5):409–416. doi: 10.1007/BF02563694.
Renzulli P, Maurer CA, Netzer P, et al. Preoperative colonoscopic derotation is beneficial in acute colonic volvulus. Dig Surg. 2002;19(3):223–229. doi: 10.1159/000064217.
Naveed M, Jamil LH, Fujii-Lau LL, et al. American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus. Gastrointest Endosc. 2020 Feb;91(2):228–235. doi:10.1016/j.gie.2019.09.007. Epub 2019 Nov 30. Erratum in: Gastrointest Endosc. 2020 Mar;91(3):721.

MUDr. Petr Macan
Chirurgická klinika FN Plzeň a LF UK v Plzni
e-mail: macanp@fnplzen.cz

Labels

Surgery Orthopaedics Trauma surgery

Editorial

Summary of the skin substitute revolution – skin coverings in the modern era of healthcare

Pancreatic carcinoma, its variants and precursors: Overview of the current WHO classification

Volkmann’s ischaemic contracture of the upper extremity – raising a red flag in the setting of developing countries

Cystic lymphangioma of the lesser omentum in an adult patient

Intranodal embolization for lymphocele after revascularization procedure in the groin

Article was published in

Perspectives in Surgery

2024 Issue 6