Caecal volvulus: A sequel of cholecystitis

Abstract

Caecal volvulus is a sobriquet, which is described anatomically by abnormal omphalic rotation of the right hemicolon. It is an infrequently encountered clinical condition with higher prevalence in women, and an anomalous cause of intestinal obstruction. Patients with this condition might present with greatly vacillating clinical symptoms ranging from discontinuous, self-limiting abdominal pain to acute abdominal pain associated with intestinal strangulation and sepsis. Paucity of experience with this condition is a factor contributing to diagnostic and treatment delays. It has been reported that radiological abnormalities are identifiable in nearly all patients with acute caecal volvulus. It is generally agreed that patients with acute caecal volvulus benefit from surgical intervention for correction of intestinal obstruction. In the present study, we report the first case of an atypical cause of a caecal volvulus, which was not initially identified from the abdominal computed tomography. We present the case, discuss management and discuss literature.