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Caecal Volvulus Presenting as an Obstructed Inguinal Hernia: A Case Report

Caecal volvulus (CV) is an uncommon cause of large intestinal obstruction due to the axial torsion of the caecum, ascending colon, and terminal ileum. We describe the case of a 37-year-old man who presented with bilateral inguinal hernias (the left larger than the right), diffuse abdominal pain, vom...

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Autores principales: M S, Viswanathan, S, Vidhya Sree, Viswanathan, Varun M, Palit, Sandhya R, Kevin, Chris
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10600403/
https://www.ncbi.nlm.nih.gov/pubmed/37900401
http://dx.doi.org/10.7759/cureus.45963
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author M S, Viswanathan
S, Vidhya Sree
Viswanathan, Varun M
Palit, Sandhya R
Kevin, Chris
author_facet M S, Viswanathan
S, Vidhya Sree
Viswanathan, Varun M
Palit, Sandhya R
Kevin, Chris
author_sort M S, Viswanathan
collection PubMed
description Caecal volvulus (CV) is an uncommon cause of large intestinal obstruction due to the axial torsion of the caecum, ascending colon, and terminal ileum. We describe the case of a 37-year-old man who presented with bilateral inguinal hernias (the left larger than the right), diffuse abdominal pain, vomiting, difficulty passing stool, and flatus that were comparable to those of an obstructed hernia. Imaging tests revealed a collapsed ascending colon, free fluid collection, and a significantly dilated proximal ileum. An urgent laparotomy showed a perforated, clockwise-twisted caecum that required a right hemicolectomy. Postoperatively, the patient had a good recovery. CV is uncommon, and its symptoms are vague, making diagnosis difficult. For an accurate diagnosis and prompt action, imaging tools and a high index of suspicion are essential. This case serves as a reminder of the significance of taking rare entities into consideration in developing a differential diagnosis of complex abdominal presentations and the necessity for a differential diagnostic approach to choose the most suitable surgical course of action.
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spelling pubmed-106004032023-10-27 Caecal Volvulus Presenting as an Obstructed Inguinal Hernia: A Case Report M S, Viswanathan S, Vidhya Sree Viswanathan, Varun M Palit, Sandhya R Kevin, Chris Cureus Gastroenterology Caecal volvulus (CV) is an uncommon cause of large intestinal obstruction due to the axial torsion of the caecum, ascending colon, and terminal ileum. We describe the case of a 37-year-old man who presented with bilateral inguinal hernias (the left larger than the right), diffuse abdominal pain, vomiting, difficulty passing stool, and flatus that were comparable to those of an obstructed hernia. Imaging tests revealed a collapsed ascending colon, free fluid collection, and a significantly dilated proximal ileum. An urgent laparotomy showed a perforated, clockwise-twisted caecum that required a right hemicolectomy. Postoperatively, the patient had a good recovery. CV is uncommon, and its symptoms are vague, making diagnosis difficult. For an accurate diagnosis and prompt action, imaging tools and a high index of suspicion are essential. This case serves as a reminder of the significance of taking rare entities into consideration in developing a differential diagnosis of complex abdominal presentations and the necessity for a differential diagnostic approach to choose the most suitable surgical course of action. Cureus 2023-09-25 /pmc/articles/PMC10600403/ /pubmed/37900401 http://dx.doi.org/10.7759/cureus.45963 Text en Copyright © 2023, M S et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Gastroenterology
M S, Viswanathan
S, Vidhya Sree
Viswanathan, Varun M
Palit, Sandhya R
Kevin, Chris
Caecal Volvulus Presenting as an Obstructed Inguinal Hernia: A Case Report
title Caecal Volvulus Presenting as an Obstructed Inguinal Hernia: A Case Report
title_full Caecal Volvulus Presenting as an Obstructed Inguinal Hernia: A Case Report
title_fullStr Caecal Volvulus Presenting as an Obstructed Inguinal Hernia: A Case Report
title_full_unstemmed Caecal Volvulus Presenting as an Obstructed Inguinal Hernia: A Case Report
title_short Caecal Volvulus Presenting as an Obstructed Inguinal Hernia: A Case Report
title_sort caecal volvulus presenting as an obstructed inguinal hernia: a case report
topic Gastroenterology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10600403/
https://www.ncbi.nlm.nih.gov/pubmed/37900401
http://dx.doi.org/10.7759/cureus.45963
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