Asian Journal of Case Reports in Surgery

Caecal Volvulus: A Fairly Frequent Emergency of Acute Intestinal Obstruction

Mounir Bouali

Department of Visceral Surgical Emergency, Faculty of Medicine and Pharmacy, University Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco.

Kabira Falousse *

Department of Visceral Surgical Emergency, Faculty of Medicine and Pharmacy, University Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco.

Amine Fatine

Department of Visceral Surgical Emergency, Faculty of Medicine and Pharmacy, University Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco.

Abdelilah El-Bakouri

Department of Visceral Surgical Emergency, Faculty of Medicine and Pharmacy, University Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco.

Khalid El-Hattabi

Department of Visceral Surgical Emergency, Faculty of Medicine and Pharmacy, University Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco.

Fatima Zahra Bensardi

Department of Visceral Surgical Emergency, Faculty of Medicine and Pharmacy, University Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco.

Abdelaziz Fadil

Department of Visceral Surgical Emergency, Faculty of Medicine and Pharmacy, University Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco.

*Author to whom correspondence should be addressed.

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Abstract

The volvulus of the cecum is a surgical emergency, in frequency, the second part of the colon concerned by the volvulus after the sigmoid and before the transverse colon. This pathology occurs at the level of the cecum of an abnormal mobility.

The mechanism of this pathology can be summarized as either by torsion or by tilting. The presentation is that of an acute intestinal occlusion by strangulation. The Abdominal X-ray and the abdominal CT scan are the radiological examinations of first choice for the diagnosis. This is a surgical emergency and the course of action is to perform an ileo-caecal resection. We describe a case of a caecal volvulus that was diagnosed by an abdominopelvic CT scan after being presented to the emergency room with an acute intestinal blockage. The procedure involved an ileocecal resection and rapid continuity restoration, both of which had positive postoperative results.

Keywords: Intestinal obstruction, caecal volvulus, diagnosis, surgery

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