Author(s): Abdulelah Saud Alharbi, Abdulwahab Ali Alshamrani and Muath Ibrahim Alsalmi

Abstract: Cecal volvulus is a rare but significant cause of large bowel obstruction. In this case report, we present details of a 35-year-old female with a history of multiple abdominal surgeries presented with a two-day history of abdominal pain, bilious vomiting, and absence of bowel movements. Initial imaging suggested a sigmoid volvulus but expert radiological reassessment identified a cecal volvulus with terminal ileum thickening and malrotation. The patient was initially managed conservatively with bowel rest, intravenous fluids, and nasogastric decompression. Due to persistent symptoms and the risk of recurrence, surgical intervention was performed. The patient underwent an emergency right hemicolectomy with ileotransverse anastomosis via a midline laparotomy. Intraoperative findings confirmed a redundant, malrotated colon with an abnormally positioned cecum. Postoperative recovery was uneventful, with progressive tolerance of oral intake and stable laboratory parameters. The patient was discharged in good condition. This case highlights the diagnostic challenges of cecal volvulus, particularly in patients with prior abdominal surgeries. Imaging, particularly CT scans, plays a crucial role in identifying volvulus-specific signs.

DOI: 10.22271/27081494.2025.v7.i2c.213

Pages: 139-143 | Views: 113 | Downloads: 64

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