Search Our Scientific Publications & Authors

Ulus Travma Acil Cerrahi Derg 2022 Mar;28(3):249-253

Department of Pediatric Surgery, Harran University Faculty of Medicine, Şanlıurfa-Turkey.

Background: We aimed to present cecum pathologies which are the cause of acute abdomen.

Methods: Between January 2015 and June 2019, patients that were operated with the diagnosis of acute abdomen and patients with the primary cecum pathologies were evaluated retrospectively.

Results: There were eight patients, five males and three females. Read More

Cureus 2022 Mar 16;14(3):e23228. Epub 2022 Mar 16.

Gastroenterology, Staten Island University Hospital - Northwell Health, New York, USA.

Signet ring cell carcinoma (SRCC) is an uncommon and poorly differentiated tumor. It arises mostly in the gastrointestinal tract. The incidence of gastric SRCC has increased in the past few years. Read More

World J Surg 2022 Jun 10;46(6):1270-1277. Epub 2022 Apr 10.

Department of Surgery, Tufts Medical Center, Tufts University School of Medicine, Boston, MA, USA.

Background: Radiological assessment is an important skill to develop in general surgery training. Therefore, we aimed to determine general surgery residents' points of view on receiving formal radiology didactics.

Methods: We performed an anonymous survey of general surgery residents throughout the USA. Read More

J Pediatr 2022 Jun 14;245:238. Epub 2022 Mar 14.

Emergency Medicine, Mount Sinai Morningside Medical Center, New York, New York.

BMJ Case Rep 2022 Mar 2;15(3). Epub 2022 Mar 2.

Department of Surgery, Saint Francis Hospital and Medical Center, Hartford, Connecticut, USA.

Caecal herniation through the foramen of Winslow is an uncommon presentation of internal hernia with an estimated overall incidence of 0.02%. Even rarer still is a caecal volvulus strangulated in the lesser sac, a surgical emergency seldom described in the literature. Read More

BMJ Case Rep 2022 Feb 2;15(2). Epub 2022 Feb 2.

General Surgery Department, Centro Hospitalar Vila Nova de Gaia Espinho EPE, Vila Nova de Gaia, Portugal.

Intestinal malrotation is usually diagnosed in early childhood. It results from failure of the normal gut rotation during embryological development. We present a case of a 62-year-old woman with a delayed presentation of an intestinal malrotation. Read More

Cir Cir 2021 ;89(S2):4-8

General Surgery Service, ABC Medical Center, Mexico City, Mexico.

A 102-year-old female with a past medical history of sigmoid volvulus resolved by colonoscopy a year ago presents to the emergency department with sigmoid volvulus, which is resolved by colonoscopy and rectal tube placement. Three days later, she presented abdominal distention and recurrence of the volvulus, for which a surgical resolution was decided. Laparotomy was performed, where sigmoid and cecal volvulus was found. Read More

Ann Ital Chir 2021 ;92:560-564

Intestinal malrotation is a rare congenital condition with an incidence in adulthood between 0,0001% and 0,19%, affecting nearly 1:500 live births. It results from an abnormal rotation of the bowel within the peritoneal cavity during embryogenesis. Generally it involves both small and large bowel, leading to an increased risk of intestinal obstruction. Read More

Surgery 2021 11 8;170(5):e21-e22. Epub 2021 May 8.

Department of General and Digestive Surgery, IMDiM, Hospital Clínic de Barcelona, Universidad de Barcelona, Barcelona, Spain.

Cureus 2021 Sep 14;13(9):e17974. Epub 2021 Sep 14.

Division of Pediatric Surgery, Phoenix Children's Hospital, Phoenix, USA.

Colonic volvulus (CV) is the third leading cause of colonic obstruction in adults. In infants and children, this is exceedingly rare, with only sporadic cases reported so far. We present two cases of CV to highlight the differences in etiology, presentation, diagnosis, and treatment of this condition. Read More

Int J Surg Case Rep 2021 Oct 30;87:106461. Epub 2021 Sep 30.

Department B of Gynecologic Surgery and Obstetric, Tunis Maternity Center, Tunis Medical School, El Manar Tunis University, Tunisia.

Introduction And Importance: Cecal volvulus is a rare clinical condition. It is characterized by axial twist of caecum, terminal ileum and the ascendant right colon around their mesenteric pedicles. The main pathophysiologic mechanism is cecal hyper mobility associated to precipitating factor such as colonic tumor, abdominal mass or pregnancy. Read More

Int J Surg Case Rep 2021 Sep 19;86:106128. Epub 2021 Jun 19.

Division of Colorectal Surgery, Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran; Colorectal Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran. Electronic address:

Introduction: Splenic flexure volvulus (SFV) occurs as a result of twisting or torsion of a redundant colon around its mesentery. The SFV can be divided into primary and secondary types.

Presentation Of Case: An 82-year-old woman with a previous history of Parkinson's disease, diabetes mellitus and hypertension presented with a primary complaimt of obstipation and progressive abdominal pain. Read More

Am Surg 2021 Aug 30:31348211041564. Epub 2021 Aug 30.

Department of Surgery, 20115VA North Texas Health Care System, Dallas, TX, USA.

Background: In the United States, the third leading cause of a large bowel obstruction (LBO) is colonic volvulus with torsion occurring most commonly in the sigmoid and the cecum. Transverse colonic volvulus (TCV) is exceedingly rare and specific involvement of the splenic flexure (SFV) is even less common. The present analysis was undertaken to interrogate current trends in presentation, management, and outcomes of TCV. Read More

Gastroenterology 2021 12 27;161(6):1809-1810. Epub 2021 Aug 27.

Cambridge Colorectal Unit, Addenbrooke's Hospital, Cambridge University Hospitals National Health Service Foundation Trust, Cambridge, United Kingdom.

Int J Surg Case Rep 2021 Aug 3;85:106168. Epub 2021 Jul 3.

Montefiore Medical Center and the Albert Einstein College of Medicine Department of Surgery, Bronx, NY, USA.

Introduction And Importance: Cecal bascule is a rare form of a cecal volvulus characterized by an anterior and superiorly displaced cecum in turn causing compression of the ascending colon that can result in a large bowel obstruction. We report a case of cecal bascule in a newly postpartum patient, with emphasis on clinical presentation, radiologic findings and treatment.

Case Presentation: A 37-year-old female who underwent an uncomplicated c-section and bilateral salpingectomy developed severe abdominal pain, vomiting, and peritonitis 12 h after surgery. Read More

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

ANZ J Surg 2021 Nov 2;91(11):2533-2534. Epub 2021 Mar 2.

Department of Surgery, Ballarat Health Services, Ballarat, Victoria, Australia.

ANZ J Surg 2021 07 6;91(7-8):E548-E550. Epub 2021 Jan 6.

Monash Hospital, Melbourne, Victoria, Australia.

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

Gastroenterol Hepatol 2020 Dec 10;43(10):633-634. Epub 2020 Oct 10.

Servicio de Cirugía General y Digestiva, Hospital Universitario Son Espases, Palma de Mallorca, Islas Baleares, España; Facultad de Medicina, Universidad de las Islas Baleares, Mallorca, España; Instituto de Investigación Sanitaria de las Islas Baleares (IdISBa), Palma de Mallorca, España.

Rev Gastroenterol Peru 2020 Apr-Jun;40(2):185-187

Pontificia Universidad Javeriana. Bogotá, Colombia.

Intestinal malrotation is a congenital anomaly of intestinal rotation and fixation, diagnosed infrequently in adulthood. We report the presence of intestinal malrotation in a previously asymptomatic adult patient with changes in bowel habit in the last 6 months after a colonoscopy is performed with evidence of a polyp in the cecum, after resection presenting acute abdominal pain in the left iliac fossa that allows imaging to confirm the diagnostic. 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