Cecal volvulus on top of Ladd’s band: a case report and review of literature
Abstract Background Cecal volvulus is a rare cause of bowel obstruction that represents a challenge in both diagnosis and management. This unique form of closed-loop obstruction occurs due to a twist in the mesentery with subsequent dilatation of the cecum. As a result of the massive distension of t...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2025-05-01
|
| Series: | Bulletin of the National Research Centre |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s42269-025-01322-6 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849726150481281024 |
|---|---|
| author | Mohamed Salah Ayyad Abdallah Alqasaby Mohamed Rezk Ahmed Abonosier Shaimaa Khalid Ahmed Azam |
| author_facet | Mohamed Salah Ayyad Abdallah Alqasaby Mohamed Rezk Ahmed Abonosier Shaimaa Khalid Ahmed Azam |
| author_sort | Mohamed Salah Ayyad |
| collection | DOAJ |
| description | Abstract Background Cecal volvulus is a rare cause of bowel obstruction that represents a challenge in both diagnosis and management. This unique form of closed-loop obstruction occurs due to a twist in the mesentery with subsequent dilatation of the cecum. As a result of the massive distension of the large bowel, many radiologists find it difficult to recognise the signs suggestive of cecal volvulus. In this article, we highlight the role of imaging in the management of this form of bowel obstruction. Case presentation A thirty-six-year-old female patient presented to our emergency department with symptoms of acute abdomen. Imaging revealed a massively dilated large bowel loop in an abnormal distribution in the centre of the abdomen with a whirlpool in the mesentery. Cecal volvulus was suspected. Surgical exploration confirmed the diagnosis, and an abnormal band connected to the caecum (Ladd’s band) was also identified. The patient underwent division of the band with ileo-transverse colostomy. Unfortunately, the patient passed away due to cardiorespiratory failure two days after the operation. Conclusions The radiologist should always consider cecal volvulus in the differential diagnosis of closed-loop obstruction, particularly at a young age. A hypermobile caecum on imaging may suggest Ladd's band, even without signs of malrotation. All relevant items should be addressed when reporting bowel obstruction cases. |
| format | Article |
| id | doaj-art-28203f03520b479e8eee7736fb23f4a4 |
| institution | DOAJ |
| issn | 2522-8307 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Bulletin of the National Research Centre |
| spelling | doaj-art-28203f03520b479e8eee7736fb23f4a42025-08-20T03:10:17ZengSpringerOpenBulletin of the National Research Centre2522-83072025-05-014911710.1186/s42269-025-01322-6Cecal volvulus on top of Ladd’s band: a case report and review of literatureMohamed Salah Ayyad0Abdallah Alqasaby1Mohamed Rezk2Ahmed Abonosier3Shaimaa Khalid4Ahmed Azam5Department of Diagnostic and Interventional Radiology, Faculty of Medicine, Mansoura UniversityDepartment of General Surgery, Faculty of Medicine, Mansoura UniversityDepartment of General Surgery, Faculty of Medicine, Mansoura UniversityDepartment of General Surgery, Faculty of Medicine, Mansoura UniversityDepartment of Diagnostic and Interventional Radiology, Faculty of Medicine, Mansoura UniversityDepartment of General Surgery, Faculty of Medicine, Mansoura UniversityAbstract Background Cecal volvulus is a rare cause of bowel obstruction that represents a challenge in both diagnosis and management. This unique form of closed-loop obstruction occurs due to a twist in the mesentery with subsequent dilatation of the cecum. As a result of the massive distension of the large bowel, many radiologists find it difficult to recognise the signs suggestive of cecal volvulus. In this article, we highlight the role of imaging in the management of this form of bowel obstruction. Case presentation A thirty-six-year-old female patient presented to our emergency department with symptoms of acute abdomen. Imaging revealed a massively dilated large bowel loop in an abnormal distribution in the centre of the abdomen with a whirlpool in the mesentery. Cecal volvulus was suspected. Surgical exploration confirmed the diagnosis, and an abnormal band connected to the caecum (Ladd’s band) was also identified. The patient underwent division of the band with ileo-transverse colostomy. Unfortunately, the patient passed away due to cardiorespiratory failure two days after the operation. Conclusions The radiologist should always consider cecal volvulus in the differential diagnosis of closed-loop obstruction, particularly at a young age. A hypermobile caecum on imaging may suggest Ladd's band, even without signs of malrotation. All relevant items should be addressed when reporting bowel obstruction cases.https://doi.org/10.1186/s42269-025-01322-6Cecal diseasesGeneral surgeryImagingIntestinal obstructionVolvulus |
| spellingShingle | Mohamed Salah Ayyad Abdallah Alqasaby Mohamed Rezk Ahmed Abonosier Shaimaa Khalid Ahmed Azam Cecal volvulus on top of Ladd’s band: a case report and review of literature Bulletin of the National Research Centre Cecal diseases General surgery Imaging Intestinal obstruction Volvulus |
| title | Cecal volvulus on top of Ladd’s band: a case report and review of literature |
| title_full | Cecal volvulus on top of Ladd’s band: a case report and review of literature |
| title_fullStr | Cecal volvulus on top of Ladd’s band: a case report and review of literature |
| title_full_unstemmed | Cecal volvulus on top of Ladd’s band: a case report and review of literature |
| title_short | Cecal volvulus on top of Ladd’s band: a case report and review of literature |
| title_sort | cecal volvulus on top of ladd s band a case report and review of literature |
| topic | Cecal diseases General surgery Imaging Intestinal obstruction Volvulus |
| url | https://doi.org/10.1186/s42269-025-01322-6 |
| work_keys_str_mv | AT mohamedsalahayyad cecalvolvulusontopofladdsbandacasereportandreviewofliterature AT abdallahalqasaby cecalvolvulusontopofladdsbandacasereportandreviewofliterature AT mohamedrezk cecalvolvulusontopofladdsbandacasereportandreviewofliterature AT ahmedabonosier cecalvolvulusontopofladdsbandacasereportandreviewofliterature AT shaimaakhalid cecalvolvulusontopofladdsbandacasereportandreviewofliterature AT ahmedazam cecalvolvulusontopofladdsbandacasereportandreviewofliterature |