Journal of the Bahrain Medical Society
Year 2020, Volume 32, Issue 3, Pages 30-33
https://doi.org/10.26715/jbms.32_2020_3_5Hussam Hassan Ismail1*, Mohamed A. Tawab2, Abdulmenem Yahya Abualsel3, Alaa A. Ayad4, Tamer Fathi Ali5
1Department of Radiology, Radiology Registrar, MBBS, MSc, FEBR, ABR, King Hamad University Hospital, Bahrain
2Department of Radio-diagnosis, Consultant radiodiagnosis, MBBS, MSc, MD, King Hamad University Hospital Bahrain
3Department of General Surgery, Consultant and Head of Surgery Department, MBBS, MSc, MD, King Hamad University Hospital, Bahrain
4Department of Radiology, Senior Registrar, MSc, MD, FRCR, King Hamad University Hospital, Bahrain
5Department of Radiology, MD, Faculty of Medicine, Zagazig University, Egypt
*Corresponding author:
Dr. Hussam Hassan Ismail, Department of Radiology, Radiology Registrar MBBS, MSc, FEBR, ABR, King Hamad University Hospital, Bahrain. Email: drhusam19@gmail.com
Received date: May 14, 2020; Accepted date: August 10, 2020; Published date: September 30, 2020
Abstract
Cecal volvulus describes the rotation of a mobile cecum around its mesentery which frequently leads to large intestine obstruction. Anatomically, this can occur in a meso-axial or an organo-axial pattern. Thus, Cecal volvulus has a wide range of presentations which can vary from mild intermittent to severe acute abdominal pain. However, if not treated in a timely manner, it can result in high morbidity due to sepsis and intestinal strangulation.
Cecal volvulus predominantly affects female patients aged between 40–60 years specifically those with a history of chronic constipation. Incomplete intestinal rotation during fetal life also plays an important embryological factor in cecal volvulus development.
In this case report, a 30-year-old female presented with severe lower abdominal pain continuously occurring for 6 hours. A previous history of constipation and minimal bowel movement was noted.
The purpose of this report is to highlight imaging findings needed for diagnosis and management of this rare serious condition.
Keywords: Abdominal pain; Cecum; Intestinal obstruction; Intestinal strangulation; Volvulus