Caecal volvulus following extended view totally extraperitoneal repair for complex ventral hernia

Caecal volvulus is a rare complication in the post-operative period which if missed can result in fatal complications. We present our experience with a 50-year-old female with complex ventral hernia (L3L4 W2 as per European Hernia Society Classification) who underwent extended view totally extraperitoneal repair with unilateral transversus abdominis release and developed post-operative caecal volvulus with acute small intestinal obstruction. She was taken up for emergency surgery and underwent diagnostic laparoscopy with open right hemicolectomy and mesh explantation. Surgeons must be aware of the possibility of such a rare complication, the means of diagnosis and modalities of treatment available for the treatment of caecal volvulus.