Treatment of Cecal Volvulus

Diagnosis and Treatment

• The World Journal of Emergency Surgery recommends right hemicolectomy as the definitive treatment for cecal volvulus, as endoscopy has no role and surgery is the only option 1
• Diagnosis of cecal volvulus should be confirmed through plain abdominal radiographs as first line, followed by abdominal CT showing the "whirl sign" of twisted colon and mesentery 2
• Chronic constipation, high-fiber diet, and frequent use of laxatives may contribute to the development of colonic volvulus 3
• Dolicho-colon, an elongated colon on a narrow mesenteric base, is a predisposing factor for cecal volvulus 4
• If the patient presents with septic shock, bowel ischemia, or perforation, immediate surgical intervention is mandatory 2