DOI: 10.36347/sjmcr.2013.v01i02.011

Pages: 54-56

Caecal volvulus is uncommon cause of intestinal obstruction in children. It accounts for 1/7th -1/10th of the sigmoid volvulus. It always congenital caused by incomplete retroperitoneal fixation of the caecum. Acquired causes include: previous surgical mobilization and pelvic masses that may distort the relative position of the abdominal organs. The common presentation of caecal volvulus is as acute abdomen. It is rarely diagnosed clinically, but 50% of the cases can show the characteristic radiological signs (―coffee–bean‖ (Caecal volvulus) or ―tear drop‖ (caecal bascule)).The aims of the treatment are distortion of the caecum and operative fixation or resection, Caecopexy, Caecostomy, and right hemi colectomy. Caecopexy, Caecostomy have a high rate of recurrence and complications. Mortality rate of caecal volvulus is determined by the degree of bowel ischeamia and vary between 12% for viable bowel and 32% in the presence of gangrene . A case report of a 13-year-old girl with of caecal volvulus that diagnosed intra operatively is reported and discussed.