Abstract
Cecal volvulus is a disease that requires emergency treatment because it can lead to necrosis of the cecum and parts of the ascending colon if left untreated. This disease is relatively uncommon in children. An 8-year-old boy visited our hospital with complaints of stomachache and vomiting. Abdominal X-ray in the standing position showed an abnormally large amount of intestinal gas. The patient was diagnosed with simple ileus, and received conservative therapy after hospitalization. However, the patient showed abdominal distention and signs of extensive peritoneal irritation on the day after hospitalization. After detection of an cecal volvulus by review of the X-ray images at admission, the patient underwent emergency surgery for torsion. Septic shock occurred after surgery; however, it was subsequently controlled, and the patient was eventually discharged. The diagnosis of childhood cecal volvulus tends to be delayed because it is mainly detected in severely multiply handicapped children, and abdominal symptoms are rarely reported. It is most important to apprehend the characteristic X-ray imaging findings of cecal volvulus for early precise diagnosis. Based on the diagnosis acknowledgement, the disease should then be carefully treated.
