Cecal volvulus : a case report

Abstract EN

Cecal volvulus describes the rotation of a mobile cecum around its mesentery which frequently leads to large intestine obstruction.

Anatomically, this can occur in a meso-axial or an organo-axial pattern.

Thus, Cecal volvulus has a wide range of presentations which can vary from mild intermittent to severe acute abdominal pain.

However, if not treated in a timely manner, it can result in high morbidity due to sepsis and intestinal strangulation.

Cecal volvulus predominantly affects female patients aged between 40–60 years specifically those with a history of chronic constipation.

Incomplete intestinal rotation during fetal life also plays an important embryological factor in cecal volvulus development.

In this case report, a 30-year-old female presented with severe lower abdominal pain continuously occurring for 6 hours.

A previous history of constipation and minimal bowel movement was noted.

The purpose of this report is to highlight imaging findings needed for diagnosis and management of this rare serious condition.