Open AccessCecal volvulus in malrotation at 41 years
Author(s) -
K Kabongo,
Charles Mbewe,
Mwila Lupasha
Publication year - 2022
Publication title -
the annals of african surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.114
H-Index - 4
eISSN - 2523-0816
pISSN - 1999-9674
DOI - 10.4314/aas.v18i4.12
Subject(s) - medicine , volvulus , laparotomy , abdominal distension , surgery , transverse colon , distension , anastomosis , general surgery , abdominal pain
Cecal volvulus is rare, and its preoperative diagnosis poses a challenge. Because of its variable clinical features, the ultimate diagnosis of cecal volvulus is determined during surgery. We aim to demonstrate the rarity of cecal volvulus, the challenge in preoperative diagnosis of cecal volvulus, and the use of surgery in both diagnosis and treatment. We herein present a case of ischemic cecal volvulus in a 41-year-old man who presented within 5 hours of onset of symptoms ofabdominal pain, vomiting, and lower abdominal distension. He had not passed flatus or opened bowels for a day. The available abdominal radiographs did not reveal preoperative cecal volvulus. An emergency laparotomy was performed, and it showed ischemic anticlockwise cecal volvulus that was managed by right hemicolectomy plus ileo-transverse primary anastomosis and transverse colopexy. The postoperative recovery and follow-up were uneventful.