Cecal Volvulus: Etiology Uncommon of Intestinal Occlusion Acute
Published: 2022-07-13
Page: 228-233
Issue: 2022 - Volume 5 [Issue 1]
A. Elbakouri
Department of Visceral Surgery, University hassan II, Faculty of Medicine and Pharmacy of Casablanca, CHU Ibn Rochd, Casablanca, Morocco.
A. Elwassi
Department of Visceral Surgery, University hassan II, Faculty of Medicine and Pharmacy of Casablanca, CHU Ibn Rochd, Casablanca, Morocco.
Y. Eddaoudi *
Department of Visceral Surgery, University hassan II, Faculty of Medicine and Pharmacy of Casablanca, CHU Ibn Rochd, Casablanca, Morocco.
M. Bouali
Department of Visceral Surgery, University hassan II, Faculty of Medicine and Pharmacy of Casablanca, CHU Ibn Rochd, Casablanca, Morocco.
K. El Hattabi
Department of Visceral Surgery, University hassan II, Faculty of Medicine and Pharmacy of Casablanca, CHU Ibn Rochd, Casablanca, Morocco.
F. Z. Bensardi
Department of Visceral Surgery, University hassan II, Faculty of Medicine and Pharmacy of Casablanca, CHU Ibn Rochd, Casablanca, Morocco.
A. Fadil
Department of Visceral Surgery, University hassan II, Faculty of Medicine and Pharmacy of Casablanca, CHU Ibn Rochd, Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Caecum volvulus is, in frequency, the second part of the colon concerned by volvulus after the sigmoid and before the transverse colon. This pathology occurs in the cecum with abnormal mobility The mechanism of volvulus can be summarized in 2 either by torsion or tilting. The clinical picture is that of an acute intestinal occlusion by strangulation. The abdomen without preparation (ASP) and the abdominal CT are the radiological examinations of the first choice for the diagnosis. It is a surgical emergency, the conduct of which is to make a resection of the cecum and the terminal ileum. We report the case of a cecal volvulus admitted to the emergency room with an acute intestinal obstruction, the diagnosis was confirmed by an abdominopelvic CT scan and the treatment consisted of an ileocecal resection with immediate restoration of continuity, the postoperative follow-up was simple.
Keywords: Cecal volvulus, bowel obstruction, manual untwisting, caecopexy