Cecal volvulus is a rare and life-threatening cause of intestinal obstruction with multiple risk factors including prior abdominal surgery and cecal hypermobility. Although its incidence has been reported after common procedures such as cholecystectomy and appendectomy, it has not been well studied after laparoscopy, especially in gynecological surgeries. If untreated, a cecal volvulus can result in serious complications such as intestinal strangulation, necrosis, or perforation. Therefore, early identification of risk factors and intervention is important in prevention of these sequelae. Here, we report a case of cecal volvulus in a patient with endometrial carcinoma after a staging robotic-assisted laparoscopic hysterectomy and the risk factors that may have led to her complication.
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http://dx.doi.org/10.1016/j.gore.2024.101404 | DOI Listing |
Int J Surg Case Rep
November 2024
The Department of Surgery, American Hospital in Dubai, United Arab Emirates. Electronic address:
Introduction And Importance: Cecal volvulus is an uncommon cause of large bowel obstruction that typically presents in older adults with a history of chronic constipation or prior abdominal surgery. However, this report documents a rare and atypical case of cecal volvulus presenting in a middle-aged female with no significant past medical or surgical history. This case also highlights the benefits of adopting a synergistic approach between a physician's clinical judgment and the patient's presentation when making a diagnosis to ensure timely interventions and prevent life-threatening complications.
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November 2024
General Surgery, Unidade Local de Saúde de Lisboa Ocidental, Lisbon, PRT.
Invasive lobular carcinoma (ILC) is the second most prevalent form of invasive breast cancer. Characterized by its insidious growth and distinctive histopathological features, ILC often presents with a less predictable metastatic pattern, including potential invasion of the gastrointestinal tract. This report presents the case of a patient with ILC who developed ileocecal valve metastasis leading to cecal volvulus, a rare but critical complication.
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November 2024
General Surgery, Kingston Hospital NHS Foundation Trust, London, GBR.
Caecal volvulus, accounting for a significant proportion of colonic volvulus cases, involves the axial twisting of the mobile caecum. While ischemic hepatitis is conventionally associated with specific etiologies, reports linking it to caecal volvulus are scarce. This case report describes a noteworthy presentation of ischemic hepatitis triggered by caecal volvulus in an elderly woman of 80 years who presented with acute epigastric pain and laboratory evidence of acute liver injury, prompting imaging studies that unveiled features suggestive of caecal volvulus.
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November 2024
Department of Paediatric Surgery, University of Turku and Turku University Hospital, Turku, Finland.
Caecal volvulus in the paediatric population is uncommon, yet at worst this condition is a life-threatening surgical emergency. In children, caecal volvulus can be associated with a variety of predisposing factors such as chronic constipation, intestinal malrotation, or neurological disease. We present a rare case of caecal volvulus, internal hernia, and an intestinal rotational abnormality in a previously healthy 8-year-old boy.
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October 2024
Department of Coloproctological Surgery, Juntendo University, Tokyo, JPN.
Cecal volvulus (CV) is a relatively rare disease; however, it often requires emergency surgery due to the low success rate of endoscopic treatment, in contrast to sigmoid volvulus. The mechanism of CV involves a mobile cecum at the base, triggered by factors such as constipation, high-fiber diets, laxative use, history of laparotomy or laparoscopic surgery, pregnancy, and prior colonoscopy, which twists the ileocecal region. Although CV is a benign disease, it can be fatal if treatment is delayed, so it is crucial to understand the pathophysiology and treatment.
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