-Case Reports-

Cecal Volvulus Following Elective Laparoscopic Cholecystectomy: A Case Report

Yoshiaki Mizuguchi, Yasuhiro Mamada, Tetsuya Shimizu, Tomohiro Kanda, Hiroyasu Furuki, Yuichi Akama, Nobuhiko Taniai, Yoshiharu Nakamura, Masato Yoshioka, Akira Matsushita, Yoichi Kawano and Eiji Uchida

Department of Surgery, Nippon Medical School, Tokyo, Japan

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.

J Nippon Med Sch 2016; 83: 172-176

Keywords
cecal volvulus, colonoscopic decompression, laparoscopic cholecystectomy

Correspondence to
Yoshiaki Mizuguchi, Department of Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
yoshi1224@gmail.com

Received, November 14, 2015
Accepted, February 12, 2016