July 1942


Author Affiliations

From the Robert Dawson Evans Memorial, Massachusetts Memorial Hospitals, and the Department of Medicine, Boston University School of Medicine.

Arch Surg. 1942;45(1):156-163. doi:10.1001/archsurg.1942.01220010159012

Partial volvulus of a mobile cecocolon is a definite but rarely suspected cause of intermittent pain in the right lower quadrant of the abdomen. Usually the diagnosis of this disorder is not established until an obvious attack of intestinal obstruction occurs and laparotomy demonstrates the cecal volvulus. It then becomes evident that the chronic symptoms which antedated the acute episode were occasioned by similar but partial and transitory torsion of the mobile cecocolon. The purpose of the present report is to demonstrate that by means of recently developed technics in the field of gastrointestinal investigation, the diagnosis of mobile cecum with intermittent volvulus can at times be established during the chronic preobstructive phase of the disease.

The term "mobile cecum" must be clearly defined, for in some respects it is discredited by the same stigma which now appertains to the words "visceroptosis" and "intestinal putrefaction." Strictly speaking, the mobile cecum

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