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Case of cecal volvulus successfully treated with endoscopic colopexy
Author(s) -
Sakamoto Yuki,
Hiyoshi Yukiharu,
Sakata Kazuya,
Toyama Eiichiro,
Takata Noboru,
Yoshinaka Ichiro,
Harada Kazunori,
Baba Hideo
Publication year - 2018
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12460
Subject(s) - medicine , cecum , surgery , ileus , decompression , endoscopy , percutaneous , ileocecal valve , pneumonia , volvulus , ileum
We herein report a case of cecal volvulus successfully treated with endoscopic colopexy. A 73‐year‐old man with a high fever and abdominal fullness was diagnosed with ileus caused by cecal volvulus. CT showed a dilated cecum and small intestine without bowel strangulation as well as acute pneumonia. Because the pneumonia increased the risk associated with general anesthesia, we attempted decompression of the bowel using endoscopy to avoid surgery. On day 1, a transanal ileus tube was inserted to the terminal ileum through the dilated cecum. On day 7, the bowel torsion spontaneously released. On day 8, we performed percutaneous endoscopic colopexy to fix the cecum on the abdominal wall and prevent re‐twisting. The patient was discharged on day 15 without postoperative complications. Percutaneous endoscopic colopexy for cecal volvulus may be a treatment option when the risk associated with general anesthesia or surgery is high because of a comorbidity.