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<p>Cecal volvulus, a rare cause of bowel obstruction, arises from incomplete intestinal fixation. Prompt surgical intervention is crucial, as delayed treatment increases the risk of bowel ischemia, perforation, and mortality. A woman in her early 60&#xa0;s with chronic constipation presented with cramping abdominal pain, bilious vomiting, and abdominal distension. Contrast-enhanced CT (CECT) revealed a distended cecum with a “whirl sign.” Emergency laparotomy confirmed cecal torsion, managed with detorsion, limited right hemicolectomy, and ileocolic anastomosis.</p>

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The Twisted Colon: A Rare Case of Acute Cecal Volvulus

  • 期刊论文

  • 发表日期：

    2025年5月19日

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  • Bijit Saha,
  • Rohith Kodali

摘要

Cecal volvulus, a rare cause of bowel obstruction, arises from incomplete intestinal fixation. Prompt surgical intervention is crucial, as delayed treatment increases the risk of bowel ischemia, perforation, and mortality. A woman in her early 60 s with chronic constipation presented with cramping abdominal pain, bilious vomiting, and abdominal distension. Contrast-enhanced CT (CECT) revealed a distended cecum with a “whirl sign.” Emergency laparotomy confirmed cecal torsion, managed with detorsion, limited right hemicolectomy, and ileocolic anastomosis.