Acute cecal volvulus: A diagnostic and therapeutic challenge in emergency: A case report.

ABSTRACT:

Introduction

Cecal volvulus is an uncommon cause of intestinal obstruction due to an axial twist of the caecum, ascending colon and terminal ileum around the mesenteric pedicle. It is responsible for 1%-1.5 of all intestinal obstructions in adult. The clinical signs may be highly variables and can be responsible of delays in diagnostic and treatment. The delay in diagnosis leads to intestinal necrosis or perforation. The mortality ranges from 10 to 40% depending on the presence of a viable or gangrenous intestine.

Presentation of case

A 64 year old woman admitted the emergency department for acute bowel obstruction. Clinical examination found typically acute bowel obstruction signs. Plain radiography showed dilated gas-filled segment of the colon in the left side of abdomen

SUBMITTER: Zabeirou AA 

PROVIDER: S-EPMC6849140 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature