A case of cecal volvulus in a patient with cerebral paralysis

Abstract

A 43–year–old man who had been treated for cerebral paralysis was seen by his family physician for appetite loss and abdominal distension. He was treated unsuccessfully with medication, and was admitted for the treatment of paralytic ileus. Plain abdominal X–ray imaging showed a huge amount of intestinal gas distending the entire abdomen. Conservative treatment involving bed confinement and observation also was unsuccessful, and volvulus of the right colon indicated by colonoscope necessitated laparotomy. The ileocecal region was found to be twisted clockwise and the cecum was necrotic, necessitating ileocecal resection. The post operative course was uneventful, he began eating on postoperative day (POD) 10, and was discharged on POD 25.