Cecal volvulus associated with intestinal malrotation presenting as postoperative intestinal obstruction. Med Princ Pract 2012;21(4):389-91
Date
01/18/2012Pubmed ID
22249114DOI
10.1159/000335415Scopus ID
2-s2.0-84862179366 (requires institutional sign-in at Scopus site) 5 CitationsAbstract
OBJECTIVE: To report a case of intestinal malrotation predisposing to cecal volvulus following nonabdominal surgery in an adult.
PRESENTATION AND INTERVENTION: A 23-year-old male with known anorectal malformation developed a postoperative intestinal obstruction following percutaneous nephrolithotomy for left renal calculus. Computed tomography of the abdomen revealed a grossly dilated cecum (9 cm) with ileocecal junction on the left side and small bowel loops on the right side of the abdomen. The patient underwent emergency exploratory laparotomy and retroperitonealization cecopexy. Bowel functions were normal at the follow-ups.
CONCLUSION: This case highlights the importance of suspecting cecal volvulus even following nonabdominal surgery in the presence of predisposing factors.
Author List
Arulmolichelvan A, Sivaraman A, Muthukrishnan AAuthor
Arjun Sivaraman MD Associate Professor in the Urologic Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultCecum
Diagnosis, Differential
Humans
Intestinal Obstruction
Intestinal Volvulus
Male
Nephrostomy, Percutaneous
Postoperative Complications
Radiography