-Case Reports-

Recurrent Bowel Obstruction Caused by Cecal Volvulus: A Case Report

Masaki Miyao¹, Tsubasa Takahashi¹, Mikihiro Okusa², Makoto Kusakabe², Ryotaro Takano², Yuka Masuda², Mampei Kawashima² and Hiroshi Yoshida²

¹Department of Pediatric Surgery, Nippon Medical School Musashi Kosugi Hospital, Kanagawa, Japan
²Department of Surgery, Nippon Medical School, Tokyo, Japan

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.

J Nippon Med Sch 2019; 86: 183-186

Keywords
cecal volvulus, cecopexy, mobile cecum, intellectual disability

Correspondence to
Tsubasa Takahashi, Department of Pediatric Surgery, Nippon Medical School Musashi Kosugi Hospital, 1-396 Kosugi-cho, Nakahara-ku, Kawasaki, Kanagawa 211-8533, Japan
tsubasa1215@nms.ac.jp

Received, August 6, 2018
Accepted, December 12, 2018