A Case of Cecal Volvulus Diagnosed with Abdominal Computed Tomography.

, Hwang, Dae Jhun; , Kim, Tae Hwa; , Cho, Ji Woong; , Lee, Hae Wan; , Ryu, Byoung Yoon; , Kim, Hong Ki; , Kim, Bong Soo

Case Report

Journal of the Korean Society of Coloproctology 2003;19(1):48-51.

Hwang, Dae Jhun , Kim, Tae Hwa , Cho, Ji Woong , Lee, Hae Wan , Ryu, Byoung Yoon , Kim, Hong Ki , Kim, Bong Soo

¹Department of Surgery, College of Medicine, Hallym University, Korea. daejhun@yahoo.co.kr
²Department of Radiology, College of Medicine, Hallym University, Korea.

Abstract

Cecal volvulus is a rare disease of the colon, which occurs in less than 2% of adult intestinal obstruction cases. Precipitating factors can be identified in some patients, including adhesions, a recent abdominal operation, congenital bands, pregnancy, violent exercise, malrotation, obstructing lesions of the left colon and colonoscopy, etc. A right colectomy is a definitive treatment for the best long term control of symptoms, and is the treatment of choice when gangrenous changes are present in the bowel. However, in the presence of viable bowel, the preferred treatment is a controversial matter, with options including; detorsion, cecopexy and cecostomy, etc. We experienced a case of cecal vovulus, which had been treated for COPD at ICU. A diagnosis was made with abdominal computed tomography, and a right hemicolectomy was performed.

Key Words: Cecal volvulus; Colon Resection