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.