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.
CT is unlikely to yield substantial additional information for the diagnostic exclusion of cecocolic volvulus; however the CT scan helps in further evaluation of gut ischemia when complications occur (9).
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.