Cecal volvulus: Report of seven cases and literature review

Shung Haur Yang*, Jen Kou Lin, Rheun Chuan Lee, Anna Fen Yau Li

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Background. Cecal volvulus is an abdominal emergency and delay in its diagnosis and treatment can result in severe complications. We reviewed these cases in order to increase the understanding of cecal volvulus (CV) to promote early diagnosis and better management. Methods. In this retrospective study of seven patients (all male; mean age ± standard deviation, 63.4 ± 17.3 years) over a 16-year period, we reviewed radiographs, for diagnostic accuracy, and the results of surgical procedures for better future management. Results. The symptoms of CV related to obstruction had a mean of duration of 6.85 days (range, 2-20 days). The preoperative diagnosis rate was 57.1%. Three types of CV (bascule, clockwise and counterclockwise) were found. There were three treatment failures resulting in two deaths. There were two cases of metachronous volvulus, one in the sigmoid colon and one in the small intestine. Conclusions. Resection is indicated for gangrene or perforation and is highly suggested in underlying bowel disease or recurrent operative procedures. For uncomplicated viable CV, cecopexy provides fair results. Metachronous volvulus should always be considered when obstruction recurs.

Original languageEnglish
Pages (from-to)482-486
Number of pages5
JournalChinese Medical Journal (Taipei)
Volume63
Issue number6
StatePublished - Jun 2000

Keywords

  • Cecal volvulus
  • Diagnosis
  • Metachronous volvulus
  • Radiography

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