[Cecal volvulus [two cases]]

ABSTRACT

Cecal Volvulus is an acute surgical emergency. In this condition cecum, terminal ileum and ascending colon on its mesenteric anticlock wise direction from 180 to 360 degrees. The cecal volvulus is caused by a congenital lack of fixation of cecum to retroperitoneum. The usual presentation consists of severe colicky abdominal pain with asymmetric abdominal distension. In this article two cases of cecal volvulus are defined. The first case was a 74 year-old female with sudden abdominal pain and severe abdominal distension subsequent 3 days patient often refers with sever colicky pain and asymmetric abdominal distention. After plain abdominal x-ray and abdominal CT scan, right hemicolectomy was performed. The second case was a 70 year- old female who subsequent 4 days without defecation was affected abdominal pain and distension. Supine and erect abdominal x-ray showed colon hyperairation and air-fluid levels. The gangrenous colon was resected etiology of bowel. Despite of other of obstruction or sigmoid volvulus that sometimes can be treated medically, the treatment of cecal volvulus is always surgery and consisted of cecum and ascending colon resection