2026-04-13T12:32:19Zhttps://recercat.cat/oai/request

oai:recercat.cat:10230/488952026-02-20T15:21:31Zcom_2072_6col_2072_452952

00925njm 22002777a 4500 dc Morera-Grau, Álex author Membrilla Fernández, Estela author González Castillo, Ana María author Pelegrina Manzano, Amalia author Guerrero-Ortiz, M. A. author Téllez-Marquès, C. author Pons Fragero, María José author Guzmán-Ahumada, J. author Pera Román, Miguel author Sancho Insenser, Juan author 2021-11-04T07:36:57Z 2021-11-04T07:36:57Z 2021 Caecal volvulus represent the 20-40% of colonic volvulus, being the second most frequent localization. It causes intestinal occlusion symptomatology (nausea, vomiting, abdominal distension). We present a case of 45-year-old women with feeding jejunostomy tube due to connatal anoxia. She arrives at A&E after 12 h of vomits and abdominal pain. The CT scan shows a small intestine dilation that suggested a small intestine volvulus. A laparotomy is performed showing a caecal volvulus, so ileo-cequectomy with primary anastomosis is performed. After several complications, she was discharged after 60 days of hospital stay. Caecal volvulus can be challenging to diagnose by clinic, because it can be hardly differenced from other intestinal occlusion causes. CT scan can be useful to reach the diagnostic and see signs of tissue suffering. In contrast with sigma volvulus, endoscopic treatment has not shown any benefit to solve it. Bowel obstruction Cecum Colon Volvulus Caecal volvulus and jejunostomy: challenging diagnostic