Caecal Volvulus on a Background of Previous Sigmoid Volvulus: Case Report and Review of Literature

Ikechi C, Panjwani Z, Alam T and Cooke JM

Department of General Surgery, William Harvey Hospital (EKHUFT), UK

^*Correspondance to: Chijioke Ikechi 

 PDF  Full Text DOI: 10.25107/2474-1647.2648

Abstract

Caecal volvulus is a rare clinical disorder, caused by an axial twist around the mesenteric pedicle of the ascending colon, caecum and terminal ileum. Absence of familiarity with cases like this creates diagnostic dilemma which can delay management. This paper describes the presentation of a 65-year-old female who was brought into the emergency department with complaints of severe generalized abdominal pain, vomiting and abdominal distension. The patient had a background history of recurrent sigmoid volvulus that required sigmoid colectomy with primary anastomosis. The purpose of this review is to promote understanding of this rather rare disease among clinicians through the presentation of this particular patient, discussion of pathogenesis of disease, clinical attributes and strategies of management.

Keywords

Caecal volvulus; Sigmoid volvuli; Colectomy

Cite the article

Ikechi C, Panjwani Z, Alam T, Cooke JM. Caecal Volvulus on a Background of Previous Sigmoid Volvulus: Case Report and Review of Literature. Clin Surg. 2019; 4: 2648.