Cecal volvulus: a case report

found distended abdomen with sluggish bowel sounds and loaded rectum. On further evaluation with Xray, abdomen supine showed dilated small-bowel loops [Figure 1]. Hence, initially paralytic ileus was suspected. Patient was treated conservatively and was observed for the next 24 h. Patient was found to deteriorate with progressive symptoms and increasing abdominal girth (from 76 to 84 cm). Thus, patient was evaluated with contrast-enhanced computer tomography (CECT) abdomen, which showed grossly dilated cecum with closedloop obstruction [Figures 2 and 3]. Patient was taken up for emergency laparotomy for acute intestinal bowel obstruction, and we found freely mobile and Cecal volvulus is an infrequently encountered clinical condition and an uncommon cause of intestinal obstruction. Patients with this condition may present with highly variable clinical presentations ranging from intermittent, self-limiting abdominal pain to acute abdominal pain associated with intestinal strangulation and sepsis. We present here a case of 54-year-old woman presented to our medical department with left hemiparesis and later on developed intestinal obstruction. She went for series of radiological investigations and was diagnosed as cecal volvulus. She underwent right hemicolectomy and ileocolic anastomosis. Her recovery was uneventful. The lack of familiarity with this condition is a factor contributing to delays in diagnostic and treatment. The objective of this review was to promote clinicians’ awareness of this disease through patient–case illustration, discussion of disease pathogenesis, clinical features, and management strategies.