Key result
Urgent laparotomy resolves gangrenous cecal volvulus in a patient with severe intellectual disability.
Why the study?
Cecal volvulus is an uncommon cause of acute intestinal obstruction requiring urgent surgical intervention, with limited case-based literature on gangrenous presentations.
Case Report (n=1)
Cecal volvulus is a surgical emergency requiring urgent laparotomy, as demonstrated in this case report of a 45-year-old woman.
Raises awareness for cecal volvulus in mentally impaired patients; leaves open optimal management strategies in this population.
Cecal volvulus as an uncommon cause of acute intestinal obstruction is to axial twist of the cecum and terminal ileum around their mesentery. Cecal volvulus is a surgical emergency requiring urgent laparotomy. Resection and anastomosis is the proposed choice of the operation depending on the general condition of the patient. In this paper, we report a case of gangrenous cecal volvulus seen in a severely mentally retarded 45-year-old woman who presented with abdominal pain and distension.
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A 2015 study conducted a case report in Gangrenous cecal volvulus (n=1). Laparotomy with resection and anastomosis was evaluated. A 45-year-old severely mentally retarded woman presented with abdominal pain and distension and was diagnosed with gangrenous cecal volvulus, a surgical emergency requiring urgent laparotomy.
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