Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Cecal Volvulus Resolved Spontaneously
Yosuke Kunishi, Megumi Tsukamoto, Takafumi Yanagibashi, Yuki Sodani, Kazuhiro Niwa, Koichiro Yoshie, Yoshio Kato, Shin Maeda
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Keywords: cecal volvulus, bowel dilatation, spontaneous, conservative treatment, mobile cecum syndrome
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2021 Volume 60 Issue 6 Pages 851-854

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Abstract

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.

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© 2021 by The Japanese Society of Internal Medicine
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