Coecum mobile

Mobile cecum syndrome refers to a symptomatic mobile cecum, manifesting as chronic intermittent right lower quadrant pain and distension.

Epidemiology

Uncommon diagnosis in that 10% of the population who have a mobile cecum, as it is usually asymptomatic.

Pathology

Owing to a redundant mesocolon, the cecum is free to twist on itself, thus resulting in an intermittent cecal torsion. There are reported cases of cecal volvulusbascule and intussusception.

Treatment and prognosis

Treated by laparoscopic cecopexy or cecocolopexy. Concomitant appendectomy is advised.

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