Abstract Partial volvulus of a mobile cecocolon is a definite but rarely suspected cause of intermittent pain in the right lower quadrant of the abdomen. Usually the diagnosis of this disorder is not established until an obvious attack of intestinal obstruction occurs and laparotomy demonstrates the cecal volvulus. It then becomes evident that the chronic symptoms which antedated the acute episode were occasioned by similar but partial and transitory torsion of the mobile cecocolon. The purpose of the present report is to demonstrate that by means of recently developed technics in the field of gastrointestinal investigation, the diagnosis of mobile cecum with intermittent volvulus can at times be established during the chronic preobstructive phase of the disease. The term "mobile cecum" must be clearly defined, for in some respects it is discredited by the same stigma which now appertains to the words "visceroptosis" and "intestinal putrefaction." Strictly speaking, the mobile cecum References 1. Harvey, S. C.: Congenital Variations in the Peritoneal Relations of the Ascending Colon, Caecum, Appendix, and Terminal Ileum , Ann. Surg. 67:641, 1918.Crossref 2. Berry, R. J.: The Caecal Folds and Fossae and the Topographical Anatomy of the Vermiform Appendix , Edinburgh, William F. Clay, 1897. 3. Wilms: Das Coecum mobile als Ursache mancher Fälle von sogenannter chronischer Appendicitis , Deutsche med. Wchnschr. 34:1756, 1908.Crossref 4. Waugh, G. E.: The Morbid Consequences of a Mobile Ascending Colon, with a Record of One Hundred and Eighty Operations , Brit. J. Surg. 7:343, 1920.Crossref 5. Houston, W. R.: The Mobile Right Colon , J. A. M. A. 93:766 ( (Sept. 7) ) 1929.Crossref 6. Kantor, J. L., and Schlechter, S.: Colon Studies: VII. Variations in Fixation of the Ceco-Colon; Their Clinical Significance , Am. J. Roentgenol. 31:751, 1934. 7. Wandel, O.: Ueber Volvulus des Caecum und Colon ascendens , Mitt. a. d. Grenzgeb. d. Med. u. Chir. 11:39, 1903. 8. von Thun, cited by Jacobsen.11 9. Sweet, R. H.: Volvulus of the Cecum , New England J. Med. 213:287, 1935.Crossref 10. Pratt, J. P., and Fallis, L. S.: Volvulus of the Cecum and Ascending Colon , J. A. M. A. 89:1225 ( (Oct. 8) ) 1927.Crossref 11. Leonard, E. D., and Derow, S.: Volvulus: A Study of Twenty-Two Cases , New England J. Med. 218:388, 1938.Crossref 12. Toprower, G. S.: Zwei Fälle von Volvulus coeci , Wien. klin. Wchnschr. 46:1417, 1932. 13. Jacobsen, H.: Volvulus du caecum , Acta chir. Scandinav. 56:181, 1924. 14. Corner, E. M., and Sargent, P. W. G.: Volvulus of the Cecum , Ann. Surg. 41:63, 1905.Crossref 15. Ingelfinger, F. J., and Abbott, W. O.: Intubation Studies of the Human Small Intestine: XX. The Diagnostic Significance of Motor Disturbances , Am. J. Digest. Dis. 7:468, 1940.Crossref 16. Miller, T. G., and Abbott, W. O.: Intestinal Intubation: A Practical Technique , Am. J. M. Sc. 187:595, 1934.Crossref 17. Abbott, W. O., and Pendergrass, E. P.: Intubation Studies of the Human Small Intestine: V. The Motor Effects of Single Clinical Doses of Morphine Sulphate in Normal Subjects , Am. J. Roentgenol. 35:289, 1936. 18. Abbott, W. O.; Zetzel, L., and Glenn, P. M.: Observations on the Motor Activity of the Obstructed Small Intestine Made During the Course of Treatment by Intubation , Am. J. M. Sc. 195:279, 1938. 19. Abbott, W. O., and Johnston, C. G.: Intubation Studies of the Human Small Intestine: X. A Non-Surgical Method of Treating, Localizing and Diagnosing the Nature of Obstructive Lesions , Surg., Gynec. & Obst. 66:691, 1938.
Archives of Surgery – American Medical Association
Published: Jul 1, 1942
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