چکیده (انگلیسی):

Introduction: Cecal volvulus and ogilvie syndrome are two entities which may display similar clinical
presentation but require different treatment approaches.
Presentation of case: An 84-year old male patient admitted for conservative treatment of a pelvis fracture,
complained of abdominal cramps and flatulence on the third hospitalization day. Abdominal radiographs
arose suspicion of cecal volvulus. The diagnosis was ruled out on the CT scan but however was later
confirmed by an exploratory laparotomy.
Discussion: The management of cecal volvulus requires prompt (emergency) surgical intervention while
Ogilvie syndrome can be principally managed with conservative treatment. Our patient's profile was
typical for both entities. The absence of air throughout all colonic segments including the rectosigmoid
on plain abdominal radiographs seems to be the most important sign in the exclusion of the Ogilvie
syndrome diagnosis.
Conclusion: Cecal volvulus and Ogilvie syndrome display overlapping clinical features at their time of
presentation and need to be carefully distinguished. By uncertainty, an exploratory laparotomy should
always be performed, in view of the reported high mortality rate of cecal volvulus if surgery is delayed.