z-logo
open-access-imgOpen Access
Caecal volvulus in an incisional hernia
Author(s) -
Ying Yang Ting,
Anthony Farfus,
Markus Trochsler
Publication year - 2020
Publication title -
journal of surgical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.14
H-Index - 3
ISSN - 2042-8812
DOI - 10.1093/jscr/rjaa422
Subject(s) - medicine , volvulus , constipation , incisional hernia , abdominal distension , vomiting , nausea , surgery , hernia , distension , bowel obstruction , general surgery , chronic constipation , caecum
Caecal volvulus represents 25–40% of all colonic volvulus. Symptoms include abdominal distension, constipation, nausea and vomiting where it may be intermittent. Abdominal X-rays and computed tomography (CTs) may help with diagnosis and recommended treatment is resection of mobile caecum. A 70-year old comorbid woman with previous open bariatric surgery and known incisional hernia presented with symptoms of bowel obstruction. CT showed caecal volvulus contained within the ventral hernia confirmed intra-operatively. Patient recovered well and was discharged on Day 6 of admission. This is the second case described in literature of a caecal volvulus occurring in an incisional hernia. The altered normal anatomy may have contributed to caecal mobility. Diagnosis of caecal volvulus can be challenging, more so in the presence of a more clinically apparent pathology. We present a second known case of caecal volvulus in a giant incisional hernia, where there were unique challenges to management.

The content you want is available to Zendy users.

Already have an account? Click here to sign in.
Having issues? You can contact us here