Abstract | INTRODUCTION: Cecal volvulus and ogilvie syndrome are two entities which may display similar clinical presentation but require different treatment approaches. PRESENTATION OF CASE: DISCUSSION: The management of cecal volvulus requires prompt (emergency) surgical intervention while Ogilvie syndrome can be principally managed with conservative treatment. Our patient's profile was typical for both entities. The absence of air throughout all colonic segments including the rectosigmoid on plain abdominal radiographs seems to be the most important sign in the exclusion of the Ogilvie syndrome diagnosis. CONCLUSION: Cecal volvulus and Ogilvie syndrome display overlapping clinical features at their time of presentation and need to be carefully distinguished. By uncertainty, an exploratory laparotomy should always be performed, in view of the reported high mortality rate of cecal volvulus if surgery is delayed.
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Authors | Athanasios Tampakis, Raoul A Droeser, Ekaterini Christina Tampaki, Urs von Holzen, Tarik Delko |
Journal | Annals of medicine and surgery (2012)
(Ann Med Surg (Lond))
Vol. 7
Pg. 55-7
(May 2016)
ISSN: 2049-0801 [Print] England |
PMID | 27054035
(Publication Type: Journal Article)
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