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Radiol Case Rep 2021 Jun 14;16(6):1469-1472. Epub 2021 Apr 14.

Radiology Department, Hospital Universitario Marqués de Valdecilla, Avda Valdecilla sn 39008, Santander, Spain.

We present a case of cecal bascule in a 60-year-old woman with abdominal pain and vomiting. Imaging tests revealed a cecal bascule causing mechanic obstruction of the stomach. Besides a small bowel dilatation was not seen, the distended cecum was extrinsically obstructing the antrum and therefore, the gastric outlet. Read More

BMJ Case Rep 2021 Mar 10;14(3). Epub 2021 Mar 10.

Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK.

Caecal volvulus is an infrequent cause of acute surgical abdomen, where an abnormally mobile cecum twists on its own axis. It can lead to the development of closed-loop obstruction, small bowel ischaemia and perforation. Early recognition and prompt treatment is key; however, due to the rarity of this pathology, it is seldom listed as a differential diagnosis. Read More

Ann R Coll Surg Engl 2021 May 8;103(5):e177-e179. Epub 2021 Mar 8.

Imperial Healthcare NHS Trust, UK.

Caecal volvulus is an uncommon cause of intestinal obstruction. Diagnosis may be challenging due to lack of clinical familiarity, variable clinical presentation and misinterpretation of diagnostic imaging and procedures. This case report describes a 29-year-old male with acute intestinal obstruction secondary to caecal volvulus, on a background of recurrent caecocolic torsion. Read More

Radiol Case Rep 2021 Feb 28;16(2):273-277. Epub 2020 Nov 28.

Department of Radiology, Renown Regional Medical Center, Reno, NV, USA.

Colonic volvulus may infrequently occur in the transverse colon, and synchronous double volvulus is a rarely reported phenomenon in the literature. Additionally, intestinal volvulus is a rare but serious complication that has been reported in scleroderma and systemic lupus erythematosus (SLE) patients. We report a 26-year-old patient with a history of scleroderma-SLE overlap syndrome who presented with an acute abdomen. Read More

Intern Med 2021 Mar 14;60(6):851-854. Epub 2020 Oct 14.

Department of Gastroenterology, Yokohama City University Graduate School of Medicine, Japan.

Cecal volvulus is an uncommon cause of colonic obstruction. First-line treatment for cecal volvulus is surgery, as nonoperative management is rarely achievable. We herein report an extremely rare case of a patient with spontaneously resolved cecal volvulus; no recurrence occurred without elective surgery. Read More

Pediatr Surg Int 2020 Oct 17;36(10):1221-1225. Epub 2020 Aug 17.

Department of Paediatric Surgery and Urology, Southampton Children's Hospital, Southampton, UK.

Purpose: We report the use of diagnostic laparoscopy as an alternative to laparotomy in the investigation of infants with clinical features concerning for malrotation and inconclusive upper gastrointestinal contrast study.

Method: Case note review of all infants in whom laparoscopy was performed during 2016-2020 to investigate for possible malrotation.

Results: Eight infants were identified. Read More

Eur J Radiol 2020 09 8;130:109155. Epub 2020 Jul 8.

CHU MONTPELLIER, 391 avenue du doyen Gaston Giraud, 34000, Montpellier, France. Electronic address:

Large bowel obstruction (LBO) is associated with high morbidity and mortality due to delayed diagnosis and/or treatment. MDCT has become the standard of care to identify the site, severity, and etiology of obstruction. The goal of this review is fourfold. Read More

Int J Surg Case Rep 2020 25;72:556-559. Epub 2020 Jun 25.

Faculty of Health Sciences, Ben-Gurion University of the Negev, Israel.

Foramen of Winslow hernias form 8% of all internal hernias. They present with non-specific findings and are often diagnosed late in disease progression. Delayed diagnosis of the hernia is associated with an estimated mortality of 50%. Read More

ANZ J Surg 2020 12 30;90(12):2577-2579. Epub 2020 Apr 30.

Department of Surgery, Western Health, Melbourne, Victoria, Australia.

Ann Card Anaesth 2020 Apr-Jun;23(2):216-217

Department of Anesthesia and Perioperative Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.

Cecal bascule is a form of volvulus resulting from upward and anterior cecal folding, and accounts for 0.01% of adult large bowel obstructions. With a competent ileocecal valve, cecal bascule may progress to closed loop obstruction, ischemia, gangrene, or perforation. Read More

Abdom Radiol (NY) 2020 10;45(10):3057-3064

Department of Radiology, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA, 94305-5105, USA.

Purpose: To evaluate the diagnostic performance of a proposed new CT observation in cecal volvulus, marked hook-like curvature of ileocolic vessels termed "ileocolic vascular curvature."

Methods: Contrast-enhanced CT scans of 14 patients with diagnoses of cecal volvulus on original CT reports were compared with scans of 40 control patients with dilated cecum but no cecal volvulus on original CT reports, accrued consecutively from January, 2006 through July, 2017. Two independent blinded readers retrospectively evaluated scans for cecal dilatation, ileocolic vascular curvature and seven previously reported CT features of cecal volvulus. Read More

J Emerg Med 2020 Mar 13;58(3):e117-e120. Epub 2019 Dec 13.

Department of Emergency Medicine, Henry Ford Hospital, Detroit, Michigan.

Background: Portal venous gas has mainly been studied in pediatrics and seen in cases of necrotizing enterocolitis. It is a rare finding in adults and is typically associated with underlying intestinal ischemia or other malignant intra-abdominal pathology. Portal venous gas is seen more readily on ultrasound compared to radiographs in both pediatric and adult patients. Read More

Vet Radiol Ultrasound 2020 Mar 14;61(2):190-196. Epub 2019 Dec 14.

Diagnostic Imaging Department, Pride Veterinary Centre, Derby, UK.

Colonic torsion is a life-threatening condition that results in colonic ischemia, necrosis, perforation, sepsis, and eventual death. The aim of this multicenter, retrospective case series study was to describe the CT findings in dogs with surgically confirmed colonic torsion. Medical records were searched for dogs with surgically confirmed colonic torsion following abdominal CT. Read More

ANZ J Surg 2020 07 26;90(7-8):1493-1494. Epub 2019 Nov 26.

Colorectal Surgery, St John of God Subiaco Hospital, Perth, Western Australia, Australia.

Ann Med Surg (Lond) 2019 Dec 31;48:69-72. Epub 2019 Oct 31.

Department of General and Visceral Surgery, Hassan II University Hospital of Fez, 30050, Fez, Morocco.

Introduction: Cecal volvulus is an uncommon cause of intestinal obstruction due to an axial twist of the caecum, ascending colon and terminal ileum around the mesenteric pedicle. It is responsible for 1%-1.5 of all intestinal obstructions in adult. Read More

Gan To Kagaku Ryoho 2019 Oct;46(10):1659-1661

Dept. of Surgery, Yokohama City University.

A 52-year-old man whose fecal occult blood test was positive was found to have type 2 sigmoid colon cancer by colonoscopy. On enhanced barium enema study, the cecum was in the pelvis, and the ascending colon was running medially in the abdomen. Enhanced CT scan of the abdomen revealed rotation of the superior mesenteric vein(SMV). Read More

Dig Endosc 2020 Jan 7;32(1):149. Epub 2019 Nov 7.

Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Aichi, Japan.

Ann Emerg Med 2019 10;74(4):491-508

Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN.

ANZ J Surg 2020 05 18;90(5):930-932. Epub 2019 Sep 18.

Department of General Surgery, Eastern Health Victoria, Melbourne, Victoria, Australia.

Ann R Coll Surg Engl 2020 Feb 18;102(2):e39-e41. Epub 2019 Sep 18.

General Surgery Directorate, Aintree University Hospital NHS Foundation Trust, Liverpool, UK.

Approximately 5% of intestinal obstruction cases are caused by internal herniation. Caecal herniation through the foramen of Winslow is considered a rare event. The management of caecal herniation remains challenging due to the lack of literature highlighting this pathology. Read More

Open Access Maced J Med Sci 2019 Jul 12;7(13):2150-2153. Epub 2019 Jul 12.

Division of General Surgery, Carlo Urbani Hospital, Jesi, Italy.

Background: Caecum volvulus (CV) is defined as an axial twisting that causes an inversion position of the caecum, ascending colon and terminal ileum. This anatomical finding is responsible for some clinical features. Obstruction and strangulation are the most important and life-threatening. Read More

J Nippon Med Sch 2019 ;86(3):183-186

Department of Surgery, Nippon Medical School.

The preoperative diagnosis of cecal volvulus (CV) is rare and difficult and emergent laparotomy is frequently performed. Here, we report a case of CV that was diagnosed by preoperative computed tomography in a patient with an intellectual disability. In addition, we demonstrate that elective laparoscopic cecopexy can be performed following conservative treatment, such as the use of an ileus tube per anus. Read More

Radiol Case Rep 2019 Jun 27;14(6):697-699. Epub 2019 Mar 27.

Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA 30322, USA.

Cecal bascule is a unique form of large bowel volvulus in which the cecum folds anterior to the ascending colon and generates a flap valve which impairs cecal emptying and results in cecal dilation [1]. Presenting symptoms include nausea, vomiting, abdominal pain, distension, and constipation. We report a case of a 74-year-old male who developed abdominal pain and nausea after a coronary artery bypass graft surgery. Read More

ANZ J Surg 2020 01 7;90(1-2):E9-E10. Epub 2019 Mar 7.

Department of Upper GI and Hepatobiliary Surgery, Monash Medical Centre, Melbourne, Victoria, Australia.

Cir Cir 2019 ;87(2):211-214

Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Tenerife, España.

Atraumatic splenic rupture, an infrequent surgical emergency, constitutes a life-threatening situation. The lack of a traumatic background makes it difficult to suspect. We present a case of a 45-year-old woman, with history of bariatric surgery, referred to our emergency due to 3 weeks long abdominal and lumbar pain, in shock. Read More

BMJ Case Rep 2019 Jan 28;12(1). Epub 2019 Jan 28.

Colorectal Surgery, Saint George Hospital, Kogarah, New South Wales, Australia.

Large-bowel obstruction caused by volvulus is potentially life threatening if not managed promptly. Sigmoid colon is the most common site of volvulus followed by caecum. Synchronous double colonic volvulus is an exceedingly rare entity, with only five cases published previously. Read More

Am Surg 2018 Sep;84(9):e418-e419

Am J Case Rep 2018 Nov 15;19:1362-1365. Epub 2018 Nov 15.

Department of General Surgery, Mount Lebanon Hospital, Beirut, Lebanon.

BACKGROUND Bowel obstruction is a mechanical or functional obstruction of the intestines which prevents the normal movement of the products of digestion. Intestinal malrotation is one of the rarest causes of mechanical bowel obstruction. In adults, the incidence rate is 0. Read More

ANZ J Surg 2019 10 19;89(10):1329-1330. Epub 2018 Sep 19.

Broomfield Hospital, Chelmsford, UK.

Pan Afr Med J 2018 15;29:154. Epub 2018 Mar 15.

University of Botswana, Department of Library Services, Gaborone, Botswana.

Congenital intestinal malrotation is a gastrointestinal anomaly whose most serious complication is midgut volvulus. More commonly, it presents as an incidental finding at laparotomy, or as a finding on diagnostic imaging (Ultrasound, CT, Upper GI contrast study). Most patients are diagnosed in childhood. Read More