What is mobile cecum?
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 causes an inflamed cecum?
Typhlitis is an inflammation of the cecum, which is the beginning of the large intestine. It’s a serious illness that affects people who have a weak immune system, often from cancer, AIDS, or organ transplant. Sometimes it’s referred to as neutropenic enterocolitis, ileocecal syndrome, or cecitis.
What are the symptoms of mobile cecum?
The incidence ranges from 10 to 20%, and there are reports indicating its relationship with functional colon disease, as it presents with chronic constipation (CC) and irritable bowel syndrome (IBS-C). Other symptoms such as recurrent pain, distension, flatulence, and dyspareunia are also present in the syndrome.
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 a mass in the cecum be benign?
Conclusion. Most inflammatory cecal masses are due to benign pathologies and can be managed safely and sufficiently with ileocecal resection or right hemicolectomy.
Can your cecum hurt?
Diverticulum of the cecum is a rare, benign, generally asymptomatic lesion that manifests itself only following inflammatory or hemorrhagic complications. Most patients with inflammation of a solitary diverticulum of the cecum present with abdominal pain that is indistinguishable from acute appendicitis.
Is Ogilvie syndrome fatal?
Conclusion: Ogilvie’s syndrome is a rare but potentially fatal complication that can mimic a postoperative ileus. It is likely underdiagnosed in the lateral transpsoas approach population because of its uncommon nature and a high index of suspicion should remain.
How is mobile cecum treated?
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.