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May 1954

VOLVULUS OF THE CECUM: Emphasis on Possible Predisposing Lesions of the Left Colon

Author Affiliations

Formerly Teaching Resident, Fifth (Tufts) Surgical Service, Boston City Hospital (Dr. Wilson); Formerly Teaching Resident, First (Tufts) Surgical Service, Boston City Hospital (Dr. Desforges); Chief, Third Surgical Service, Quigley Hospital (Soldiers Home) Chelsea, Mass., and Surgeon, Newton-Wellesley Hospital (Dr. Dunphy); Clinical Professor of Surgery, Tufts College Medical School, and Surgeon-in-Chief, First Surgical Service, Boston City Hospital (Dr. Campbell).

AMA Arch Surg. 1954;68(5):593-604. doi:10.1001/archsurg.1954.01260050595002

THE DIAGNOSIS and successful treatment of the relatively rare volvulus of the cecum gives great intellectual satisfaction. More important, however, proper recognition and early therapy may be lifesaving to the patient. It is not the purpose of this paper to review the literature on volvulus of the cecum. This has been well done by Chalfant,3 Gardiner,9 Sweet,23 and Wolfer.26 Nor is it our intent to merely add eight more cases of an unusual entity to those already published. We do, however, wish to emphasize a condition which occurs in several forms, all of which can be diagnosed if the condition is borne in mind. Further, we would point out that volvulus of the cecum may frequently be initiated by partially obstructive lesions of the left colon.

Emphasis is important in a disease which has shown such a high mortality in the past * and in which early

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