Summary
Colonoscopy was employed to attempt detorsion of volvulus of the right colon in four patients considered to be high-risk surgical patients. In one patient detorsion was accomplished, so that emergency laparotomy became unnecessary. The site of torsion was reached in every patient. When detorsion does not occur reasonably soon after the colonoscope enters the right colon, persistent efforts are more likely to be harmful than helpful.
Abdominal symptoms in a patient who has been ill or injured for some time should suggest the possibility of volvulus of the right colon. Early diagnosis and earlier employment of colonoscopy would almost surely result in an increased rate of success in accomplishing detorsion.
When detorsion is accomplished, subsequent resection of the right colon should be seriously considered as, without it, volvulus is said to recur frequently.
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References
Dowling BL, Gunning AJ: Caecal volvulus. Br J Surg 56: 124, 1969
Krippaehne WW, Vetto RM, Jenkins CC: Volvulus of the ascending colon: A report of twenty-two cases. Am J Surg 114: 323, 1967
McGraw JP, Kremen AJ, Rigler LG: The roentgen diagnosis of volvulus of the cecum. Surgery 24: 793, 1948
Meyers JR, Heifetz CJ, Baue AE: Cecal volvulus: A lesion requiring resection. Arch Surg 104: 594, 1972
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Anderson, M.J., Okike, N. & Spencer, R.J. The colonoscope in cecal volvulus: Report of three cases. Dis Colon Rectum 21, 71–74 (1978). https://doi.org/10.1007/BF02586552
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DOI: https://doi.org/10.1007/BF02586552