Cecal volvulus, a rare cause of intestinal obstruction with incidental jejunal diverticula: an unusual case report

Cecal volvulus refers to the abnormal twisting of the cecum around its mesenteric axis. Although it is an infrequent cause of large bowel obstruction, it poses a potential threat to life, requiring prompt surgical assessment and intervention to avert severe complications like bowel gangrene, cecal perforation and widespread peritonitis. Diagnosing cecal volvulus can be challenging, as its presentation closely resembles that of other causes of intestinal obstruction. Three proposed management options for cecal volvulus include cecopexy/cecoplasty, cecostomy, and resection of the cecum. Jejunal diverticula are rare unusual entity that can be congenital or acquired. Acquired jejunal diverticula are usually pulsion diverticula. Small bowel diverticula are often asymptomatic and discovered incidentally on imaging or laparotomy. The gold standard for diagnosing diverticula is contrast enhanced abdominal computed tomography (CT). Uncomplicated jejunal diverticula can be left untreated. Diverticulitis can be managed conservatively with antibiotics and surgical intervention is required only in case of complicated jejunal diverticulosis.