Case Reports
Vol. 3 No. 2 (2025)
https://doi.org/10.4081/crest.2025.35

Cecal volvulus: a case report of adult intestinal obstruction

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Published: 15 December 2025
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Cecal volvulus, cecum, intestinal obstruction, strangulation, right hemicolectomy

Authors

Georgios Kaklamanis
giorgos.kaklama@gmail.com
1st Surgical Department, Sismanoglio General Hospital, Athens, Greece.
Apostolos Angelakoudis
https://orcid.org/0009-0003-1748-7097
1st Surgical Department, Sismanoglio General Hospital, Athens, Greece.
Athina Kafritsa
1st Surgical Department, Sismanoglio General Hospital, Athens, Greece.
Lampros Siozos
1st Surgical Department, Sismanoglio General Hospital, Athens, Greece.
Pambos Ioannou
1st Surgical Department, Sismanoglio General Hospital, Athens, Greece.
Panagiotis Voulgaris
1st Surgical Department, Sismanoglio General Hospital, Athens, Greece.
Vaios Prikimiris
1st Surgical Department, Sismanoglio General Hospital, Athens, Greece.

Cecal volvulus (CV) is an uncommon cause of intestinal obstruction and strangulation in adults, occurring when the ascending colon and the terminal ileum twist around their mesenteric pedicle. We report a case of a 30-year-old female patient who presented with a 4-day history of abdominal pain and vomiting. Radiological investigations, including CT scans, revealed findings such as cecal distension, displacement of the cecal apex to the left upper quadrant, mesenteric whirl, and ileocecal twist. The patient underwent a right hemicolectomy with ileotransverse anastomosis. The rarity of CV complicates early diagnosis, leading to higher rates of complications and mortality. Timely diagnosis and urgent intervention are crucial. Abdominal CT scans are essential for diagnosis, and the recommended treatment involves right hemicolectomy with primary anastomosis or ileostomy, depending on the patient's condition.

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Cecal volvulus: a case report of adult intestinal obstruction. (2025). Case Reports in Emergency Surgery and Trauma, 3(2). https://doi.org/10.4081/crest.2025.35
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