Abstract
Sixteen cases of caecal volvulus were treated surgically at a major Australian teaching hospital over a decade. Review of these cases suggests that this condition may be more common in fit people between 30 and 40 years of age than in the elderly or institutionalised. Caecal volvulus was more common in women than in men, possibly because adhesions from previous gynaecological surgery may initiate volvulus. In some other cases colonic distension due to poor muscle tone rather than distal obstruction may have been an important predisposing factor. Preoperative diagnosis was not usually made, but might have been facilitated if knowledge of the above predisposing factors had been available. This would allow colonoscopic reduction to be considered as a therapeutic alternative to laparotomy. At laparotomy, right hemicolectomy or caecal fixation (caecostomy or caecopexy) were the alternative methods of treatment.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Anderson J. R., Lee D. Acute caecal volvulus. Br J Surg. 1980 Jan;67(1):39–41. doi: 10.1002/bjs.1800670112. [DOI] [PubMed] [Google Scholar]
- Burke J. B., Ballantyne G. H. Cecal volvulus. Low mortality at a city hospital. Dis Colon Rectum. 1984 Nov;27(11):737–740. doi: 10.1007/BF02554605. [DOI] [PubMed] [Google Scholar]
- Howard R. S., Catto J. Cecal volvulus. A case for nonresectional therapy. Arch Surg. 1980 Mar;115(3):273–277. doi: 10.1001/archsurg.1980.01380030025006. [DOI] [PubMed] [Google Scholar]
- Morris D. M., Eisenstat T., Hall G. M. Management of cecal volvulus in debilitated patients. South Med J. 1982 Sep;75(9):1069–1071. doi: 10.1097/00007611-198209000-00010. [DOI] [PubMed] [Google Scholar]
- Orchard J. L., Mehta R., Khan A. H. The use of colonoscopy in the treatment of colonic volvulus: three cases and review of the literature. Am J Gastroenterol. 1984 Nov;79(11):864–867. [PubMed] [Google Scholar]
- Perry E. G. Intestinal volvulus: a new concept. Aust N Z J Surg. 1983 Oct;53(5):483–486. doi: 10.1111/j.1445-2197.1983.tb02490.x. [DOI] [PubMed] [Google Scholar]
- Reasbeck P. G. Caecal and sigmoid volvulus in the same patient. Postgrad Med J. 1979 Nov;55(649):824–825. doi: 10.1136/pgmj.55.649.824. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Todd G. J., Forde K. A. Volvulus of the cecum: choice of operation. Am J Surg. 1979 Nov;138(5):632–634. doi: 10.1016/0002-9610(79)90334-9. [DOI] [PubMed] [Google Scholar]
- Weiss B. D. Cecal volvulus: A diagnostic and therapeutic challenge. Postgrad Med. 1982 Aug;72(2):189–194. doi: 10.1080/00325481.1982.11716164. [DOI] [PubMed] [Google Scholar]