A case report on cecal volvulus: Approach to management
- Author:
Alyssa Katrin O. Chang
1
;
Manuel Francisco T. Roxas
1
Author Information
- Publication Type:Case Reports
- Keywords: Cecal volvulus; Ileo-colectomy; Whirl sign
- From: Philippine Journal of Surgical Specialties 2023;78(2):45-48
- CountryPhilippines
- Language:English
- Abstract: Cecal volvulus is a rare cause of intestinal obstruction caused by axial twisting of the cecum that occurs in 1–1.5 % of all intestinal obstruction, with an incidence of 2.8–7.1 cases per million annually. Cecal volvulus is potentially life-threatening without prompt surgical intervention. A 57-year-old woman presented with severe abdominal pain and distention. Laboratory examinations revealed normal white blood cell count with neutrophilic predominance. Diagnosis of acute cecal volvulus was made from a “whirl sign” on abdominal computed tomography. An exploratory laparotomy confirmed the diagnosis of cecal volvulus and a segmental ileocolic resection with primary anastomosis was carried out. The patient was discharged improved and returned to her normal activities of daily living.
- Full text:3 PJSS.pdf
