Cecal volvulus associated with intestinal malrotation presenting as postoperative intestinal obstruction.

OBJECTIVE

To report a case of intestinal malrotation predisposing to cecal volvulus following nonabdominal surgery in an adult.

PRESENTATION AND INTERVENTION: A 23-year-old male with known anorectal malformation developed a postoperative intestinal obstruction following percutaneous nephrolithotomy for left renal calculus. Computed tomography of the abdomen revealed a grossly dilated cecum (9 cm) with ileocecal junction on the left side and small bowel loops on the right side of the abdomen. The patient underwent emergency exploratory laparotomy and retroperitonealization cecopexy. Bowel functions were normal at the follow-ups.

CONCLUSION

This case highlights the importance of suspecting cecal volvulus even following nonabdominal surgery in the presence of predisposing factors.