DOI: 10.21276/sasjs.2019.5.6.6

Pages: 263-265

The cecum is, in frequency, the second part of the colon concerned by the volvulus after the sigmoid and before the left angle and the transverse colon. This condition occurs on abnormally mobile caecums. The mechanism of volvulus is twisting or tilting. The clinical picture is that of an acute intestinal obstruction by strangulation. The unprepared abdomen x-ray and abdominal CT are the first imaging examinations performed for diagnosis. The treatment aims to reduce volvulus and treat complications. Ileocecal resection is the best therapeutic option. In rare cases, caecopexy may be a therapeutic alternative in elderly or debilitated patients and in the absence of necrosis.we reporting the case of a patient who is admitted to emergency in an acute bowel obstruction, the diagnosis was confirmed by an abdominopelvic CT scan and the treatment consisted of a caecal detorsion with a caecopexy, the postoperative follow up was uneventful.