Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
A Case of Cecal Volvulus after Endoscopic Repositioning for Sigmoid Volvulus
Kento KUMONMasashi UDATakahiro YOSHIOKAToshihiro MURATAHirokazu UETSUKA
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2016 Volume 77 Issue 2 Pages 378-381

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Abstract
A 55-year-old man with mental retardation who was confined to the bed presented at our hospital with abdominal pain and distention and was admitted. He had undergone endoscopic repositioning for sigmoid volvulus 3 months previously. Abdominal radiography examination revealed a markedly dilated bowel and computed tomography revealed whirl sign, bird beak sign, and ileocecal valve and ileum at the right side of cecum. He was diagnosed with cecal volvulus. Colonoscopy showed a normal sigmoid colon. Repositioning for cecal volvulus was not possible, and emergency surgery was performed. The ileocecal region was markedly dilated with a 270°counterclockwise torsion and necrotic change. Its fixation to the retroperitoneum was incomplete. Right colon resection was performed. Metachronous cecal volvulus is rare, but should be include in differential diagnosis when volvulus is suspected.
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© 2016 Japan Surgical Association
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