Cecal Volvulus Resolved Spontaneously

Cecal volvulus is an uncommon cause of colonic obstruction. First-line treatment for cecal volvulus is surgery, as nonoperative management is rarely achievable. We herein report an extremely rare case of a patient with spontaneously resolved cecal volvulus; no recurrence occurred without elective su...

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Veröffentlicht in:Internal Medicine 2021/03/15, Vol.60(6), pp.851-854
Hauptverfasser: Kunishi, Yosuke, Tsukamoto, Megumi, Yanagibashi, Takafumi, Sodani, Yuki, Niwa, Kazuhiro, Yoshie, Koichiro, Kato, Yoshio, Maeda, Shin
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Sprache:eng
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Zusammenfassung:Cecal volvulus is an uncommon cause of colonic obstruction. First-line treatment for cecal volvulus is surgery, as nonoperative management is rarely achievable. We herein report an extremely rare case of a patient with spontaneously resolved cecal volvulus; no recurrence occurred without elective surgery. A 47-year-old woman presented with acute lower abdominal pain. She was misdiagnosed with small bowel obstruction and treated conservatively. A few hours later, she was correctly diagnosed with cecal volvulus. Subsequently, her symptoms and computed tomography findings of cecal volvulus completely disappeared. She refused elective surgery, but no recurrence occurred during five months of follow-up.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.5532-20