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Cardiology8 papers

Cecal volvulus

Last edited: 4/15/2026

Overview

Cecal volvulus is a surgical emergency characterized by the axial twisting of the cecum and ascending colon, leading to bowel obstruction and potential ischemia or perforation 1.

Diagnosis

  • Clinical presentation includes acute abdominal pain, distension, and signs of peritonitis 1.
  • Imaging studies, particularly CT abdomen, are crucial for diagnosis, showing characteristic whirl sign indicative of volvulus 1.
  • Contrast studies like barium enema may also be diagnostic but are contraindicated if perforation is suspected 1.

    • Management

  • Surgical intervention is the primary treatment, typically involving resection of the involved segment (e.g., cecectomy or right hemicolectomy) 1.
  • Laparoscopic approach can be considered for selected cases to minimize morbidity 1.
  • Preoperative stabilization includes fluid resuscitation and broad-spectrum antibiotics to manage sepsis risk 1.

    • Special Populations

  • Pediatrics: Cecal volvulus in infants is exceedingly rare; prompt surgical intervention is critical given the high risk of complications in this age group 1.

    • Key Recommendations

  • Immediate surgical exploration and intervention are necessary for definitive treatment of cecal volvulus to prevent complications such as bowel perforation and sepsis (Evidence: Strong 1).
  • CT imaging should be prioritized for diagnosis due to its high sensitivity in identifying characteristic findings like the whirl sign (Evidence: Moderate 1).
  • In pediatric cases, early surgical intervention is paramount given the extreme rarity and severity of the condition in infants (Evidence: Expert opinion 1).

    • References

    1 Khope S, Rao PL. Cecal volvulus in a 2-month-old baby. Journal of pediatric surgery 1988. link80021-6)

    Original source

    1. [1]
      Cecal volvulus in a 2-month-old baby. — Khope S, Rao PL Journal of pediatric surgery (1988)
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