Cecal volvulus, an uncommon cause of lower intestinal obstruction: case report and literature review

Blaz-Zavala Rogelio Agustin; Pinto-Juarez Karen Julissa; Valencia-González Milton; Ortiz-Vargas Astrid; Corona-Flores Yanetzy Elizabet

doi:10.18203/2320-6012.ijrms20233730

Authors

Blaz-Zavala Rogelio Agustin Department of General Surgery, Instituto Mexicano del Seguro Social, Mexico City, Mexico
Pinto-Juarez Karen Julissa Department of General Surgery, Xoco General Hospital, Mexico City, Mexico
Valencia-González Milton Department of General Surgery, Instituto Mexicano del Seguro Social, Mexico City, Mexico
Ortiz-Vargas Astrid Department of General Surgery, Xoco General Hospital, Mexico City, Mexico
Corona-Flores Yanetzy Elizabet Department of General Surgery, Instituto Mexicano del Seguro Social, Mexico City, Mexico

DOI:

https://doi.org/10.18203/2320-6012.ijrms20233730

Keywords:

Volvulus, Cecum, Colon, Laparotomy, Hemicolectomy, Anastomosis

Abstract

A volvulus is defined as a loop of bowel that undergoes torsion and rotation about its axis and the supporting mesentery, resulting in manifestations of intestinal occlusion. Depending on the degree of intestinal distension, blood flow may be compromised with risk of ischemia and perforation. Cecal volvulus is caused by axial rotation of the cecum, involving the terminal ileum and ascending colon due to alterations in fixation of the cecum. We present a case report of a 32-year-old male patient with no important surgical history who presented with lower intestinal occlusion secondary to cecum volvulus associated with flanges.

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