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Cecal Volvulus

An emergency in which the cecum twists around its mesentery, leading to bowel obstruction and ischemia.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Cecal Volvulus?

Cecal volvulus is a closed-loop obstruction occurring with rotation around the mesenteric axis on the basis of inadequate retroperitoneal fixation of the cecum and ascending colon (mobile cecum).

It is less common than sigmoid volvulus but has higher mortality because it does not respond adequately to endoscopic decompression and ischemia develops rapidly.

On plain radiograph, the 'coffee bean' sign, an image of an enlarged cecum located in the left upper quadrant, leads to the diagnosis; it is confirmed by CT.

Symptoms

Sudden-onset severe abdominal pain
Marked abdominal distension
Vomiting
Cessation of gas and stool passage
Tympanic area in the left upper quadrant
Tachycardia and dehydration
Peritonitis findings in advanced cases

Risk Factors

Mobile cecum (congenital)
Previous abdominal surgery
Chronic constipation
High-fiber diet and fermented foods
Advanced age
Long-term bed rest
Pregnancy (rare)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Sudden severe abdominal pain and distension
  • Bilious vomiting and absence of gas-stool passage
  • High heart rate and weakness
  • Defense and rebound in the abdomen
  • Image of enlarged bowel on direct radiograph

Treatment Methods

01
Nasogastric decompression and fluid resuscitation
02
Emergency surgical exploration (main treatment)
03
Right hemicolectomy + ileocolic anastomosis in viable bowel
04
Cecopexy or cecostomy options (in stable and viable cases)
05
Resection + stoma in ischemic bowel
06
Postoperative intensive care and early mobilization

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Genel Cerrahi Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.