A cecal volvulus is the rotation or torsion of a flexible cecum and ascending colon, frequently progressing to bowel obstruction, ischemia, necrosis, and perforation [1-5]. Volvuli can occur at other sites in the alimentary tract, including the sigmoid colon, stomach, gallbladder, splenic flexure, and small bowel [6,7].
The incidence of cecal volvulus ranges from 2.8 to 7.1 per million people per year [1,3]. Cecal volvulus accounts for approximately 1 to 3 percent of all large intestinal obstructions [8-10]. Depending upon the series and age of the patients, cecal volvulus represents 10 to 52 percent of all cases of colonic volvuli [4,11-15]. For example, a retrospective review of 137 patients with a colonic volvulus identified the following segments involved :
●Cecum – 52 percent
●Sigmoid – 43 percent
●Transverse colon – 3 percent