Simultaneous cecal and transverse colon volvulus: An exceedingly rare case of intestinal obstruction from Ethiopia: A case report and review of literatures

Cecal volvulus mimicking acute appendicitis: A rare case report

INTRODUCTION

Cecal volvulus is a rare condition, accounting for about 1-5 % of intestinal obstruction causes. It carries high morbidity and mortality unless diagnosed and managed early.

CASE PRESENTATION

We present a case of 33 yrs. old male patient who initially presented with typical sign and symptoms of appendicitis but intraoperatively was found to have viable cecal volvulus.

DISCUSSION

Diagnosing cecal volvulus can be challenging because its presentation often mimics that of other causes of intestinal obstruction. Additional investigative modalities such as barium studies and CT scan are helpful in diagnosing the condition.

CONCLUSION

Cecal volvulus is a clear emergency that require urgent surgery. In our case presentation highlight unusual clinical presentation of cecal volvulus.

Recurrent Transverse Colon Volvulus After Operative Detorsion: A Case Report

Transverse colon volvulus is a rare type of colonic volvulus. Here, we present a case of a 40-year-old male patient with a recurrent transverse colon volvulus after operative detorsion. He presented with a history of intermittent crampy abdominal pain of three days duration associated with failure to pass both feces and flatus. He has a history of abdominal distention and vomiting. The patient has a history of repeated abdominal surgeries. His last surgery was two years before the presentation, laparotomy with operative detorsion without colopexy for viable transverse colon volvulus. The patient was explored, and transverse colectomy was done with two-stage procedures. The transverse colon volvulus can occur simultaneously or metachronously with other types of colonic volvulus. A high index of suspicion is needed for diagnosis. Management of transverse colon volvulus should be resection with or without primary anastomosis.