Cecal Volvulus in Malrotation at 41years
Cecal volvulus is rare, and its preoperative diagnosis poses a challenge. Because of its variable clinical features, the ultimate diagnosis of cecal volvulus is determined during surgery. We aim to demonstrate the rarity of cecal volvulus, the challenge in preoperative diagnosis of cecal volvulus, a...
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Surgical Society of Kenya
2021-10-01
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doaj-8730103e765141af9913ad0f4a5bf9992021-09-30T08:56:20ZengSurgical Society of Kenya The Annals of African Surgery1999-96742523-08162021-10-01184252257dx.doi.org/10.4314/aas.v18i4.12Cecal Volvulus in Malrotation at 41years Kabongo Kizito Mulamba Changachanga0Mbewe Charles1Lupasha Mwila2School of Medicine, University of Zambia, Lusaka, ZambiaUniversity Teaching Hospital, Lusaka, Zambia University Teaching Hospital, Lusaka, Zambia .School of Medicine, University of Zambia, Lusaka, Zambia Cecal volvulus is rare, and its preoperative diagnosis poses a challenge. Because of its variable clinical features, the ultimate diagnosis of cecal volvulus is determined during surgery. We aim to demonstrate the rarity of cecal volvulus, the challenge in preoperative diagnosis of cecal volvulus, and the use of surgery in both diagnosis and treatment. We herein present a case of ischemic cecal volvulus in a 41-year-old man who presented within 5 hours of onset of symptoms of abdominal pain, vomiting, and lower abdominal distension. He had not passed flatus or opened bowels for a day. The available abdominal radiographs did not reveal preoperative cecal volvulus. An emergency laparotomy was performed, and it showed ischemic anticlockwise cecal volvulus that was managed by right hemicolectomy plus ileo-transverse primary anastomosis and transverse colopexy. The post-operative recovery and follow-up were uneventful. https://www.annalsofafricansurgery.com/cecal-volvulus-in-malrotation-at-41yearscecal volvuluscecopexytransverse colopexy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kabongo Kizito Mulamba Changachanga Mbewe Charles Lupasha Mwila |
spellingShingle |
Kabongo Kizito Mulamba Changachanga Mbewe Charles Lupasha Mwila Cecal Volvulus in Malrotation at 41years The Annals of African Surgery cecal volvulus cecopexy transverse colopexy |
author_facet |
Kabongo Kizito Mulamba Changachanga Mbewe Charles Lupasha Mwila |
author_sort |
Kabongo Kizito Mulamba Changachanga |
title |
Cecal Volvulus in Malrotation at 41years |
title_short |
Cecal Volvulus in Malrotation at 41years |
title_full |
Cecal Volvulus in Malrotation at 41years |
title_fullStr |
Cecal Volvulus in Malrotation at 41years |
title_full_unstemmed |
Cecal Volvulus in Malrotation at 41years |
title_sort |
cecal volvulus in malrotation at 41years |
publisher |
Surgical Society of Kenya |
series |
The Annals of African Surgery |
issn |
1999-9674 2523-0816 |
publishDate |
2021-10-01 |
description |
Cecal volvulus is rare, and its preoperative diagnosis poses a challenge. Because of its variable clinical features, the ultimate diagnosis of cecal volvulus is determined during surgery. We aim to demonstrate the rarity of cecal volvulus, the challenge in preoperative diagnosis of cecal volvulus, and the use of surgery in both diagnosis and treatment. We herein present a case of ischemic cecal volvulus in a 41-year-old man who presented within 5 hours of onset of symptoms of abdominal pain, vomiting, and lower abdominal distension. He had not passed flatus or opened bowels for a day. The available abdominal radiographs did not reveal preoperative cecal volvulus. An emergency laparotomy was performed, and it showed ischemic anticlockwise cecal volvulus that was managed by right hemicolectomy plus ileo-transverse primary anastomosis and transverse colopexy. The post-operative recovery and follow-up were uneventful. |
topic |
cecal volvulus cecopexy transverse colopexy |
url |
https://www.annalsofafricansurgery.com/cecal-volvulus-in-malrotation-at-41years |
work_keys_str_mv |
AT kabongokizitomulambachangachanga cecalvolvulusinmalrotationat41years AT mbewecharles cecalvolvulusinmalrotationat41years AT lupashamwila cecalvolvulusinmalrotationat41years |
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