Mobile Cecum in a Young Woman with Ehlers-Danlos Syndrome Hypermobility type: A Case Report and Review of the Literature

Yoshihisa Fukuda; Yusuke Higuchi; Kanae Shinozaki; Yuji Tanigawa; Taro Abe; Nobuyoshi Hanaoka; Sunao Matsubayashi; Tomomi Yamaguchi; Tomoki Kosho; Koji Nakamichi

doi:10.2169/internalmedicine.8758-16

CASE REPORTS

Mobile Cecum in a Young Woman with Ehlers-Danlos Syndrome Hypermobility type: A Case Report and Review of the Literature

Yoshihisa Fukuda, Yusuke Higuchi, Kanae Shinozaki, Yuji Tanigawa, Taro Abe, Nobuyoshi Hanaoka, Sunao Matsubayashi, Tomomi Yamaguchi, Tomoki Kosho, Koji Nakamichi

Author information

Yoshihisa Fukuda
Department of Gastroenterology, Fukuoka Tokushukai Medical Center, Japan
Department of Internal Medicine, Kagoshima Tokushukai Hospital, Japan
Yusuke Higuchi
Department of Gastroenterology, Fukuoka Tokushukai Medical Center, Japan
Kanae Shinozaki
Department of Gastroenterology, Fukuoka Tokushukai Medical Center, Japan
Yuji Tanigawa
Department of Gastroenterology, Fukuoka Tokushukai Medical Center, Japan
Taro Abe
Department of Gastroenterology, Fukuoka Tokushukai Medical Center, Japan
Nobuyoshi Hanaoka
Department of Internal Medicine, Kagoshima Tokushukai Hospital, Japan
Sunao Matsubayashi
Department of Psychosomatic Medicine, Fukuoka Tokushukai Medical Center, Japan
Tomomi Yamaguchi
Center for Medical Genetics, Shinshu University Hospital, Japan
Tomoki Kosho
Center for Medical Genetics, Shinshu University Hospital, Japan
Koji Nakamichi
Department of Gastroenterology, Fukuoka Tokushukai Medical Center, Japan

Keywords: Ehlers-Danlos syndrome hypermobility type (EDS-HT), mobile cecum, ptosis, laparoscopic cecopexy, postural tachycardia syndrome, cecal volvulus

JOURNAL OPEN ACCESS

2017 Volume 56 Issue 20 Pages 2791-2796

DOI https://doi.org/10.2169/internalmedicine.8758-16

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Abstract

Ehlers-Danlos syndrome, hypermobility type (EDS-HT) is unexpectedly common and is associated with a high rate of gastrointestinal manifestations. We herein report the first documented case of mobile cecum associated with EDS-HT. A 21-year-old woman with repeated right lower abdominal pain was initially diagnosed with EDS-HT. Abdominal examinations performed in the supine position, such as CT and ultrasonography, showed no gross abnormalities. In contrast, oral barium gastrointestinal transit X-ray images obtained with changes in the patient's body position revealed position-dependent cecal volvulus with mobile cecum. She was finally discharged with a dramatic resolution of her symptoms after laparoscopic cecopexy for mobile cecum.

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