Cecal Volvulus: A Rare but Life-Threatening Cause of Intestinal Obstruction

Cecal volvulus is a rare cause of intestinal obstruction involving torsion of the cecum, ascending colon, and terminal ileum, leading to ischemia and potential perforation. It accounts for 1–1.5% of intestinal obstructions and typically arises from abnormal cecal mobility. Two forms exist: axial volvulus and cecal bascule. Diagnosis relies on imaging, with CT being the most accurate modality. Treatment is surgical, as colonoscopic reduction is rarely successful and carries risks. Options include detorsion, caecopexy, or right colectomy, depending on bowel viability.