INTRODUCTION: The condition commonly referred to as cecal volvulus is actually a cecocolic volvulus and consists of an axial rotation of the terminal ileum, cecum, and ascending colon with concomitant twisting of the associated mesentery (1).
We present a case of cecocolic volvulus with gangrene and discuss the various management options and its controversies.
The other condition that is being discussed here is actually a cecocolic volvulus in which there is twisting of caecum and ascending colon in an axial pale around its long axis in either a clockwise or counter-clockwise motion.
The first case report of the cecocolic volvulus was made by Rokitansky in the year 1841.
The options for the management of the cecocolic volvulus include: endoscopic decompression, surgical detorsion alone, cecopexy, cecostomy, and right colectomy with primary anastomosis or stoma formation with delayed anastomosis--through open or minimally invasive approaches.
However, some authors recommended, resection with primary anastomosis in the setting of cecocolic volvulus with gangrene, with low anastomotic leak 0-9% and mortality rates 0-23% (15).