Coecal Volvulus: Case Report and Review of Literature

Introduction and Importance: Cecal volvulus is a rare cause of intestinal obstruction occurring when the ascending colon and terminal ileum are twisted around the mesenteric pedicle, resulting in obstruction and possible vascular compromise. Case Presentation: A 50-year-old man was admitted on an emergency basis after a presentation of an acute intestinal obstruction necessitating emergency laparotomy. At laparotomy, a twisted cecum with ileal knotting and necrosis of its anterior portion was found, which resulted in resection of the cecum with the terminal ileum, followed by an end-to-end anastomosis of the ileum to the ascending colon. Clinical Discussion: Cecal volvulus is relatively uncommon, the incidence varying from 2.8 to 7.1 cases per million population every year. Diagnosis delay can lead to necrosis and perforation of the cecum leading to significant morbidity and mortality. Conclusion: This case demonstrates a rare instance of cecal volvulus in a 50-year-old male with cecal necrosis but without perforation. Effective and timely recognition and surgical treatment are effective in prevention against perforation and reassure other complications of this condition.