Vólvulo de ciego

Abstract

Volvulus of the ccum constitutes an uncommon cause of surgical obstructive acute abdomen. It is originated in the torsion of a mobile segment of the colon, surrounding its mesenteric axis. The ccum is the second most frequent localization, after the sigmoid colon. The usual picture of volvulus of the ccum is of an acute, complete intestinal obstruction with enormous abdominal distention. Patients who develop this form of volvulus possess a ccum and ascending colon with a free mesenterium. Unless this entity is early recognized, it can progress to a colonic ischemia, perforation, sepsis and death. The definitive surgical treatment is the right hemicolectomy. An illustrative case is reported, with a complete description of the clinical features and the surgical management performed.