A Case of Recurrence of a Cecal Volvulus 11 Years After Laparoscopic Cecopexy

Abstract

The subject was a 55-year-old woman, who had undergone laparoscopic cecopexy after endoscopic reduction 11 years previously for cecal volvulus associated with a mobile cecum. She visited us with the chief complaint of hypogastric pain, which was determined upon further examination as being caused by a recurrent cecal volvulus. Due to difficulty in endoscopic reduction, an emergency operation was carried out. Intraabdominal exploration via a laparotomy revealed that the fixation to the retroperitoneum had been released, with a 720-degrees clockwise rotation with respect to the cecum at the center. Because the significant dilatation of the bowel segment from the cecum to the ascending colon would have made detection of a rupture in the serous membrane rather difficult, we performed ileocecal resection. Following an uneventful postoperative course, the patient was discharged on the 11th day after the surgery.