2023 Volume 50 Issue 4 Pages 187-193
A woman in her 30s consulted our hospital complaining of abdominal pain. Height was 148 cm, weight was 50 kg, and body mass index was 22.8 kg/m2. She was diagnosed as having a cecal volvulus by computed tomography and underwent endoscopic detorsion in the gastroenterology department of our hospital. She had undergone endoscopic detorsion for cecal torsion twice previously and had repeated recurrences, so she was referred to our department for surgical treatment. Laparoscopic observation revealed incomplete fixation with the retroperitoneum from the proximal 1/2 of the ascending colon to the cecum. To promote adhesion between the cecum and ascending colon and the retroperitoneum, we made a partial incision in the peritoneum and sutured the cecum and ascending colon at this area. Her postoperative course was uneventful, she resumed her diet on the 3rd postoperative day, and was discharged from hospital on the 8th postoperative day. She has been without recurrence for 4 years and 2 months postoperatively. Cecal volvulus is a relatively rare disease in Japan, accounting for 0.4% of cases of intestinal obstruction and 5.9% of colon volvulus. Onset occurs most commonly in the elderly, but we used laparoscopic cecal fixation to treat cecal volvulus that developed at a young age in the present patient.
