Summary
A case of intermittent cecal volvulus in an immunocompromised patient is presented. This patient, whose bowel was viable, was managed successfully by laparoscopic cecopexy.
As a clinical entity, cecal volvulus usually presents as either an unrelenting process, culminating in gangrenous bowel, or as an intermittent, recurrent condition with spontaneous resolution but which also may lead to loss of intestinal viability. Surgical management is required in almost every case; however, a review of the literature reveals considerable controversy as to what constitutes the best operation for cases in which the bowel is viable. The most appropriate operation is usually dictated by the clinical circumstances, and in many settings cecopexy is a satisfactory choice of procedure; resection is obviated, bowel need not be opened, and the operation can be performed laparoscopically relatively rapidly.
Similar content being viewed by others
References
Bagley EC, Crabtree H, et al (1961) Volvulus of the right colon. Ann Surg 154 Supp: 268–277
Ballantyne H, Brandner MD et al (1985) Volvulus of the colon, incidence and mortality. Ann Surg 202: 83–92
Hinshaw DB, Carter R, Jorgenson EJ (1959) Volvulus of the cecum or right colon. A study of fourteen cases. Am J Surg 98: 175–183
Howard RS, Catto J (1980) Cecal volvulus. A case for nonresectional therapy. Arch Surg 115: 273–277
Jacobs M (1991) Minimally invasive colon resection. Laparoscopic colectomy. Surg Laparosc Endosc 1(3): 144–150
Kerry RL, Ransom HK (1969) Volvulus of the colon. Etiology, diagnosis, and treatment. Arch Surg 99: 215–222
O'Mara CS, Wilson TH, et al (1979) Cecal volvulus. Analysis of 50 patients with longterm follow-up. Ann Surg 189(6): 724–731
Ostergaard E, Halvorsen JF (1990) Volvulus of the cecum. An evaluation of various surgical procedures. Acta Chir Scand 156: 629–631
Rabinovici R, Simansky DA, et al (1990) Cecal volvulus. Dis Col Rect 33(9): 765–769
Tejler G, Jiborn H (1988) Volvulus of the cecum. Report of 26 cases and review of the literature. Dis Col Rect 31(6): 455–459
Todd GJ, Forde KA (1979) Volvulus of the cecum: choice of operation. Am J Surg 138: 632–634
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Shoop, S.A., Sackier, J.M. Laparoscopic cecopexy for cecal volvulus. Surg Endosc 7, 450–454 (1993). https://doi.org/10.1007/BF00311742
Issue Date:
DOI: https://doi.org/10.1007/BF00311742