2019 Volume 39 Issue 1 Pages 059-062
A 49-year-old man presented with a history of lower abdominal pain and hiccup. He had no history of any previous surgery. Abdominal computed tomography （CT） confirmed axial torsion and marked dilatation of the mobile cecum. We diagnosed the patient as having cecal volvulus by additional three-dimensional image reconstruction of the CT images, and conducted emergency surgery on the same day. Four trocars were inserted for the surgery. Caecocolic torsion was confirmed and ileocolectomy was performed laparoscopically. The patient recovered well and was discharged 5 days later. At present, 8 months after the surgery, he remains free of recurrence. Preoperative diagnosis is often difficult for cecal volvulus, and there are few reports of laparoscopic surgery. We report a case of preoperative diagnosis and successful laparoscopic surgery performed with preoperative three-dimensional reconstruction of images.
