A Case of Necrotic Cecal Volvulus in Cerebral Palsy

Abstract

A 45-year-old woman was admitted to a local hospital because of abdominal pain, but the symptom did not resolve. Therefore, she was admitted to our hospital the next day. On admission, she had abdominal pain with muscular defense and abdominal distension. Since plain abdominal CT showed ascites and the “whirl sign”, emergency surgery was performed. At laparotomy, 300 ml of blood-tinged ascitic fluid was found. Since the right hemicolon, including a mobile cecum, was found to be twisted 360 degrees counterclockwise around the mesentery and necro-tized, right hemicolectomy was performed.