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Postgraduate Medical Journal 2005;81:772-776; doi:10.1136/pgmj.2005.035311
© 2005 BMJ Publishing Group Ltd and The Fellowship of Postgraduate Medicine.

REVIEW

Diagnosis and treatment of caecal volvulus

E T Consorti, T H Liu

University of California San Francisco- East Bay Surgery Program, and University of California San Francisco School of Medicine, Oakland and San Francisco, California USA

Correspondence to:
Correspondence to:
Dr T H Liu
UCSF-East Bay. 1411 East 31st Street, Oakland, CA 94602-1018, USA; LiuT{at}surgery.ucsf.edu

Caecal volvulus is an infrequently encountered clinical condition and an uncommon cause of intestinal obstruction. Patients with this condition may present with highly variable clinical presentations ranging from intermittent, self limiting abdominal pain to acute abdominal pain associated with intestinal strangulation and sepsis. Lack of familiarity with this condition is a factor contributing to diagnostic and treatment delays. The objective of this review is to promote clinicians’ awareness of this disease through patient case illustration, discussion of disease pathogenesis, clinical features, and management strategies.

Keywords: caecal volvulus; caecal bascule; caecopexy; caecostomy


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