Medical College of Wisconsin
CTSICores SearchResearch InformaticsREDCap

Cecal volvulus associated with intestinal malrotation presenting as postoperative intestinal obstruction. Med Princ Pract 2012;21(4):389-91

Date

01/18/2012

Pubmed ID

22249114

DOI

10.1159/000335415

Scopus ID

2-s2.0-84862179366 (requires institutional sign-in at Scopus site)   5 Citations

Abstract

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 A

Author

Arjun Sivaraman MD Associate Professor in the Urologic Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Cecum
Diagnosis, Differential
Humans
Intestinal Obstruction
Intestinal Volvulus
Male
Nephrostomy, Percutaneous
Postoperative Complications
Radiography