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April 1972

Cecal VolvulusA Lesion Requiring Resection

Author Affiliations

St. Louis
From the Department of Surgery, the Jewish Hospital of St. Louis, and Washington University School of Medicine, St. Louis.

Arch Surg. 1972;104(4):594-599. doi:10.1001/archsurg.1972.04180040208035

Nine patients with cecal volvulus were treated. Seven were women, two were men. Three were treated initially by cecopexy and all recurred to be cured later by right colectomy. Five others were treated initially and successfully by right colectomy. The ninth patient's cecal volvulus was secondary to obstructive carcinoma. He was treated by transverse colostomy and sigmoid resection. A distinction is made between cecal volvulus which is more common in women, rotates in a clockwise direction, and is best treated by primary right colectomy, and sigmoid volvulus, more common in men, rotating in a counter-clockwise direction, and often treated by intubation through the sigmoidoscope.