Acute cecal volvulus in a pediatric patient with intestinal malrotation: A case report.

INTRODUCTION

Cecal volvulus is a rare cause of intestinal obstruction, accounting for 1-3 % of cases, with higher incidence in neuropsychiatric patients and those with anatomical abnormalities. Emergency surgery is essential, though optimal management remains debated between detorsion with fixation and resection.

CASE PRESENTATION: A 12-year-old boy presented with acute abdominal pain, vomiting, and obstipation. Imaging revealed cecal volvulus with malrotation, prompting emergency right hemicolectomy with primary anastomosis, leading to full recovery.

DISCUSSION: Pediatric cecal volvulus is rare, often requiring surgical intervention due to high necrosis risk. Diagnosis relies on clinical suspicion and imaging, with resection being definitive. This case demonstrates successful management despite atypical presentation.

CONCLUSION

Early surgical intervention is crucial in pediatric cecal volvulus. This case confirms that even with atypical features, prompt diagnosis and resection ensure favorable outcomes, highlighting the importance of clinical vigilance.