Medical Journal of Mashhad university of Medical Sciences

Medical Journal of Mashhad university of Medical Sciences

A 52 years old man with Cecal vovulus (A case report)

Document Type : Research Paper

Authors
Ali Sadrizadeh 1
Mohammad taghi Rajabi mashhadi 2
Monire Ravanbakhsh 3
Ehsanolah Ghorbanian 4
1 Associate Professor / Department of Thoracic surgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
2 Associate Professor / Department of General surgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3 Resident of surgery / Department of General surgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
4 Resident of Anesthesiology and Member of Student Research Committee / Mashhad University of Medical Sciences, Mashhad, Iran
10.22038/mjms.2014.2710
Abstract
Introduction: Cecal volvulus is an uncommon cause of large bowel obstruction  in developed countries. Cecal vovulus is the second most common type of colonic volvulus, accounting for 10 – 40 % of colonic volvulus and 2% of all cases of adult intestinal obstraction.
Case report: We presented a case of cecal vovulus in 52 years old man. In this case Cecum was twisted axialy and severely distended with patchy gangrenous areas, but there was no perforation.
Conclusion:In most cases of  Cecal vovulus  resection by hemicolectomy is favoured, except in patients with a viable cecum and high degrees of comorbidity. In these cases cecopexy may be considered.
Keywords
Volvulus
Cecum
hemicolectomy