Cecal volvulus in giant ventral hernia

International Journal of Surgery Case Reports
Aleksandr A ReznichenkoRebecca Zulim

Abstract

Colonic volvulus is the third leading cause of the colonic obstruction with cecal volvulus accounting for approximately 40% of all colonic volvulus. Lack of peritonealization of the right colon, adhesions from prior surgery, colonic atony, and distal colonic obstruction are potential risks factors for the development of cecal volvulus. 63 year old male with history of multiple prior intraabdominal surgeries and recurrent ventral hernia. Presented with colon perforation, as a result of cecal volvulus, which was contained in a giant ventral hernia. Diagnosis of cecal volvulus was suspected based on preoperative imaging studies, and confirmed in the OR. Patient underwent damage control procedure with subsequent challenging abdominal wall closure. Axial cecal volvulus and cecal bascule are representing two types of cecal volvulus. Both of these types require a mobile cecum and presence of right colon to occur. It is generally accepted, that mobile cecum is a congenital condition, but in certain situations, particularly after prior intraabdominal surgeries, cecum may lose fixation points and potentially become vulnerable to twisting. This patient with long history of large recurrent ventral hernia had mobile cecum inside the hernia ...Continue Reading

References

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Citations

Jul 30, 2017·BMJ Case Reports·Jugal Patel, Priti Tare
Nov 22, 2017·Techniques in Coloproctology·B E LungP Denoya
May 18, 2016·BJR Case Reports·Gary TseNeil Kukreja
Apr 11, 2020·Annals of Cardiac Anaesthesia·Angela M JohnsonFrancis T Lytle
Aug 21, 2019·Case Reports in Surgery·Tushar ShettyAmalia Stefanou
Mar 16, 2021·International Journal of Surgery Case Reports·Chinniahnapalaya Pandurangaiah HariprasadShiv Shankar Paswan
Jul 12, 2021·International Journal of Surgery Case Reports·Chetna BakshiFlavio Malcher
Aug 11, 2021·Curēus·Mahalingam SudharshanNaveen Kumar Gaur

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