Mobile cecum syndrome

Last revised by Kieran Kusel on 31 Aug 2021

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

Epidemiology

It is estimated that a mobile cecum occurs in 10-20% of the population, however, it is usually asymptomatic and thus mobile cecum syndrome is an uncommon diagnosis.

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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