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February 1949

VOLVULUS OF THE CECUMWith a Review of One Hundred Cases in the Literature and a Report of Six New Cases

Author Affiliations

From the Department of Surgery, Albany Hospital and Medical College.

Arch Surg. 1949;58(2):129-148. doi:10.1001/archsurg.1949.01240030134001

VOLVULUS of the cecum is regarded as a rare condition, but in many cases it has masqueraded for years as chronic or recurrent appendicitis before a severe attack revealed the true diagnosis. The number of cases in which the disease goes unmasked is unknown. When one considers the embryology of the intestinal tract and the many anomalies contained therein, it is surprising that volvulus of the cecum and of the terminal portion of the ileum does not occur more commonly. It is probable that many cases have existed, however, without having been reported.

The first description of cecal volvulus was written by Rokitansky in 1841. Since that time only from 300 to 400 cases have been reported. Most of the cases occurred in Central European countries and in Russia, where the incidence of cecal volvulus is greater than in England or in the United States. Jacobsen reported an incidence of

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