The management of cecal volvulus

Dis Colon Rectum. 2002 Feb;45(2):264-7. doi: 10.1007/s10350-004-6158-4.


Cecal volvulus is second only to sigmoid volvulus in its frequency of occurrence. Diagnostic doubt is not uncommon in cecal volvulus; nonoperative decompression is rarely achievable; and if gangrene supervenes, mortality rises appreciably. Resection is mandatory for gangrene and a grossly distended, thin-walled cecum. Cecopexy and cecostomy seem less-effective and more morbid options than resection and anastomosis for viable bowel. However, their role needs reappraisal in the light of advances in minimally invasive techniques.

Publication types

  • Review

MeSH terms

  • Cecal Diseases / epidemiology
  • Cecal Diseases / surgery
  • Cecal Diseases / therapy*
  • Cecostomy
  • Cecum / surgery
  • Humans
  • Intestinal Obstruction / epidemiology
  • Intestinal Obstruction / surgery
  • Intestinal Obstruction / therapy*
  • Suture Techniques