DOI: https://doi.org/10.36347/sjmcr.2026.v14i05.016

Pages: 931-935

Cecal volvulus is a rare but serious cause of closed-loop colonic obstruction. Its clinical presentation is often non-specific, whereas delayed diagnosis exposes the patient to ischemia, necrosis, and perforation. We report the case of a 46-year-old woman admitted for an obstructive syndrome evolving over four days. Abdominopelvic CT performed before and after contrast administration showed marked air-fluid distension of the cecum, displaced to the left, with a reported maximal diameter of 107 mm, collapse of the remaining colonic frame, a mesenteric whirl sign, abnormal displacement of the ileal loops to the right side, suboptimal cecal wall enhancement, parietal pneumatosis, pericecal infiltration, and a small amount of intraperitoneal fluid. The overall findings were in favor of complicated cecal volvulus, probably favored by an intestinal rotation anomaly. Surgical exploration confirmed cecal volvulus on a Ladd’s band, associated with incomplete common mesentery, with an ectopic cecum and pre-perforative mural compromise. This case emphasizes the importance of a methodical CT reading, integrating direct diagnostic signs, indirect signs of closed-loop obstruction, rotational anomalies, and severity criteria.