Twisted Gut, Stricken Liver: A Case of Ischemic Hepatitis From Caecal Volvulus

Caecal volvulus, accounting for a significant proportion of colonic volvulus cases, involves the axial twisting of the mobile caecum. While ischemic hepatitis is conventionally associated with specific etiologies, reports linking it to caecal volvulus are scarce. This case report describes a noteworthy presentation of ischemic hepatitis triggered by caecal volvulus in an elderly woman of 80 years who presented with acute epigastric pain and laboratory evidence of acute liver injury, prompting imaging studies that unveiled features suggestive of caecal volvulus.