Cecal Volvulus Following Elective Laparoscopic Cholecystectomy: A Case Report

J Nippon Med Sch. 2016;83(4):172-6. doi: 10.1272/jnms.83.172.

Abstract

Cecal volvulus is characterized by torsion of the cecum around its own mesentery. However, cecal volvulus rarely develops soon after elective laparoscopic cholecystectomy. We report on a case of cecal volvulus that developed in a 54-year-old women 1 day after elective laparoscopic cholecystectomy and was successfully treated via colonoscopic decompression. The symptoms gradually improved in conjunction with recovery from postoperative ileus. Whether the incidence of volvulus has increased with the use of laparoscopic procedures, including laparoscopic cholecystectomy, has yet to be determined. Considering the current trend toward minimally invasive surgery, cecal volvulus should be considered in patients who have postoperative abdominal pain and distention.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Cecal Diseases / diagnostic imaging
  • Cecal Diseases / etiology*
  • Cholecystectomy, Laparoscopic / adverse effects*
  • Colonoscopy
  • Elective Surgical Procedures / adverse effects*
  • Female
  • Humans
  • Intestinal Volvulus / diagnostic imaging
  • Intestinal Volvulus / etiology*
  • Male
  • Middle Aged
  • Postoperative Care
  • Tomography, X-Ray Computed