Is mobile cecum serious?
Mobile cecum syndrome is likely to be an under-recognized cause of chronic right iliac fossa pain, which can be effectively managed with laparoscopic cecopexy, preventing more serious complications such as intussusception and volvulus.
Does mobile cecum require surgery?
The diagnosis of mobile cecum needs a high index of suspicion and a targeted radiological investigation. Surgery, especially laparoscopic cecopexy and appendectomy, is the recommended treatment.
Is a mobile cecum painful?
Mobile cecum syndrome is characterized by chronic right lower quadrant pain with the evidence of neither appendicitis nor other pathological findings at operation. Two cases of mobile cecum syndrome are reported; both had intermittent right lower quadrant cramping pain for months.
What does a mobile cecum mean?
Mobile cecum is defined as a failure of cecum, terminal ileum, and right colon along with the mesentery to fuse to the posterior parietal peritoneal wall (Fig. 1). Abnormal mobility of the cecum and ascending colon has been estimated to occur in 10–20 % of population [1, 2].
What is a floppy cecum?
Mobile cecum is anatomically defined as an anomalous position of the right colon, cecum, and terminal ileum due to the failure of the right colon mesentery to fuse with the posterior parietal peritoneum.
How is mobile cecum diagnosed?
Abdominal CT is the method of choice for diagnosis of mobile cecum syndrome, and it was used in 8 (53.3%) patients in this series.
Is Caecum fixed?
The cecum is fixed to the posterolateral abdominal wall by peritoneal bands that pass over the duodenum (seeFig.
Why is the cecum important?
The main functions of the cecum are to absorb fluids and salts that remain after completion of intestinal digestion and absorption and to mix its contents with a lubricating substance, mucus.
Can laparoscopic cecopexy be used to treat mobile cecum syndrome?
Laparoscopic cecopexy for mobile cecum syndrome manifesting as cecal volvulus: report of a case A 44-year-old woman was admitted to our hospital for investigation and treatment of sudden abdominal pain and distention.
What is mobile cecum syndrome (cecal volvulus)?
The mobile cecum syndrome includes a spectrum of conditions. The cecal volvulus represents the acute form, with typical feature of a bowel obstruction that needs immediate operative treatment.
How is mobile cecum syndrome (MCS) diagnosed?
Since clinical and laboratory tests are often not specific, for both mobile cecum syndrome and acute presentation, radiological investigations play a central role in diagnosis. Patients with mobile cecum syndrome often have extensive work-ups before a correct diagnosis.
Is mobile cecum associated with chronic constipation?
Background and Objectives: The mobile cecum is an embryologic abnormality and has been associated with functional colon disease (chronic constipation and irritable bowel syndrome). However, unlike functional disease, the primary treatment is operative, using laparoscopic cecopexy.