Hassan Malak Maaz
General Surgery, Hayatabad Medical Complex, Peshawar, PAK.
Cureus. 2025 Jun 16;17(6):e86180. doi: 10.7759/cureus.86180. eCollection 2025 Jun.
A hypermobile cecum is a rare anomaly where incomplete fixation to the body wall causes increased mobility of the cecum and ascending colon. This condition can be asymptomatic or present with vague symptoms that can mimic other acute surgical conditions. This is a case report of a 34-year-old female patient, who presented to the emergency department with clinical symptoms suggestive of acute appendicitis like right iliac fossa pain, vomiting and nausea. After an inconclusive ultrasound, a CT scan was performed, which revealed a hypermobile cecum with volvulus. An emergency laparoscopy was performed, during which both a successful cecopexy and appendectomy were carried out. The patient recovered well post-operatively and was discharged on the fourth post-operative day. This case highlights the need for radiological imaging and the diagnostic difficulty caused by a hypermobile cecum, since it can resemble other common acute surgical situations. CT imaging is critical for precise diagnosis, and early surgical intervention is key to preventing complications such as perforation. Awareness of this condition is important for clinicians managing patients with unexplained right lower quadrant pain.
游动盲肠是一种罕见的异常情况，即盲肠与体壁的固定不完全，导致盲肠和升结肠的活动度增加。这种情况可能无症状，或表现为可模仿其他急性外科病症的模糊症状。本文报告了一名34岁女性患者的病例，该患者因右下腹疼痛、呕吐和恶心等提示急性阑尾炎的临床症状就诊于急诊科。超声检查结果不明确后，进行了CT扫描，结果显示盲肠游动伴肠扭转。进行了急诊腹腔镜检查，期间成功实施了盲肠固定术和阑尾切除术。患者术后恢复良好，术后第四天出院。该病例强调了放射影像学检查的必要性以及游动盲肠所致的诊断困难，因为它可能类似于其他常见的急性外科情况。CT成像对于精确诊断至关重要，早期手术干预是预防诸如穿孔等并发症的关键。认识到这种情况对于处理不明原因右下腹痛患者的临床医生很重要。
