DOI: https://doi.org/10.36347/sjmcr.2026.v14i09.029

Pages: 2082-2087

Cecal volvulus is a rare cause of large bowel obstruction resulting from axial twisting of the cecum around its mesentery. Its clinical presentation is often nonspecific, which may lead to delayed diagnosis and an increased risk of bowel ischemia. We report two cases of cecal volvulus occurring in elderly female patients. The first patient presented with acute abdominal pain and biological signs suggestive of ischemia. Computed tomography revealed a cecal volvulus with features of bowel compromise, and emergency surgery confirmed cecal necrosis. The second patient initially presented with nonspecific symptoms and was treated symptomatically, leading to a delay in diagnosis. Subsequent imaging demonstrated a typical whirl sign consistent with cecal volvulus. In the first case, surgical exploration revealed a mobile cecum associated with abnormal mesenteric fixation. A right hemicolectomy with primary ileocolic anastomosis was performed in both of cases. Postoperative outcomes were favorable. Cecal volvulus remains a diagnostic challenge due to its nonspecific presentation. Computed tomography is the gold standard for diagnosis. Surgical resection is the treatment of choice, and primary anastomosis can be safely performed in selected patients, including the elderly.