Batista Thales Paulo, Rolim Jânio Cipriano, Gomes Allysson Antonio Ribeiro, Carvalho Waneska Lucena Nóbrega de, Santos Renato José dos
Surgery Service, Hospital de Guarnição de João Pessoa, João Pessoa, Paraíba, Brazil.
Rev Col Bras Cir. 2010 Dec;37(6):460-2. doi: 10.1590/s0100-69912010000600015.
Cecal volvulus is an uncommon cause of acute bowel obstruction in adults. The mechanism is torsion of the enlarged, poorly-fixed or hypermobile cecum. Patients with this condition may display highly variable clinical presentations, ranging from intermittent, self-limiting abdominal discomfort to acute abdominal pain associated with intestinal strangulation and sepsis. The treatment needs to be individualized for each case, but surgical management is required in almost every case. In the presence of gangrene or perforation of the cecum, resection and primary ileocolic anastomosis is recommended. However, in non-complicated cases detorsion and cecopexy are adequate. The authors report one case of cecal volvulus in a 55-year-old women treated with cecopexy that complicated with septic jaundice.
