CECAL VOLVULUS PRESENTING AS ACUTE INTESTINAL OBSTRUCTION: A CASE REPORT

Ishwar Charan, Akhil Kapoor*, Vikas Jain and Namrata Jagawat

ABSTRACT

Cecal volvulus is a rare but important cause of large bowel obstruction. A 48-year-old man presented to our medical department in casualty with complain of pain abdomen, inability to pass flatus and motion and increasing abdominal distension with vomiting for 2 days duration. X-ray flat plate abdomen showing multiple air fluid levels suggestive of intestinal obstruction. An emergency exploratory laparotomy was performed. A gangrenous patch was found on anterior wall of cecum. The gangrenous patch was excised, derotation and cecostomy was performed and cecopaxy was done. Abdominal wall was closed after putting an abdominal drain in pelvic cavity inside. His recovery was uneventful.

Keywords: Cecal volvulus; intestinal obstruction; air-fluid level.