Caecal volvulus is an infrequent clinical condition caused by an axial twist of ascending colon, caecum and terminal ileum around the mesenteric pedicle. This article presents the case of a 16-year old African male from Kenya who presented to the emergency department with acute onset right sided lower abdominal pain diagnosed intra-operatively as caecal volvulus. The rare nature of the conditio...

Acute gastric volvulus is a life-threatening condition associated with abnormalities of the stomach, surrounding viscera or spatial anatomy such as hiatus hernia (Millar et al, 1991). Our report of gastric volvulus highlights an aetiological association with severe secondary kyphoscoliosis. As cerebral palsy is the commonest cause of physical disability in paediatric patients, with high surviva...

Sigmoid and caecal volvulus: Describes rotation of the gut on its mesenteric axis. The sigmoid colon is the most common site of volvulus and accounts for 5% of large bowel obstruction. It is usually seen in the elderly or those with psychiatric illness. It is the most common cause of intestinal obstruction in Africa and Asia, where the incidence is 10 times higher than in Europe or North Americ...

Adenylate kinases (ADK) are ubiquitous enzymes that contribute to the homeostasis of adeninenucleotides in living cells. In this study, the cloning of a cDNA encoding an adenylate kinase from the filariaOnchocerca volvulus has been described. Using PCR technique, a 281 bp cDNA fragment encoding part ofan adenylate kinase was isolated from an O. volvulus cDNA library. Use of this fragment as a p...

The possible role of microfilarial surface (cuticular) antigens in immuno-diagnosis of human filarial infections has been assessed using microfilariae (mf) of the cattle parasite Onchocerca gibsoni. A Triton X-100 extract of 125I-labeled O. gibsoni mf was reacted with a panel of sera from humans infected with Onchocerca volvulus, Wuchereria bancrofti and Schistosoma japonicum as well as sera fr...

Onchocerciasis is a major cause of blindness worldwide, and much of the blindness is caused by onchocercal chorioretinitis. In an experimental animal model for ocular onchocerciasis, intravitreal injections of 10,000 live Onchocerca volvulus microfilariae isolated from infected humans into the eyes of cynomolgus monkeys (Macaca fascicularis) resulted in patchy, progressive loss of retinal pigme...

Volvulus of the alimentary tract accounts for 10% of all intestinal obstructions. It occurs most frequently in the sigmoid colon, less so in the small intestine and caecum, and least of all in the transverse colon. Whereas volvulus of the sigmoid colon is a well-known and well-documented entity, volvulus of the caecum is considered a rarity, a review of the literature published in English showi...

We report a rare case of transverse colon volvulus in a fifteen year old boy with a review of the literature. This brings the total number of pediatric cases reported in the English literature to fifteen. This case is unusual in that no aetiological factor has been found, in contrast to the majority of the pediatric cases. Diagnosis can be challenging and the effective management remains contro...

The traditional surgical management of gastric volvulus consists of laparotomy with gastric detorsion and fixation, and diaphragmatic hernia repair. We report here an 83−year−old patient whose gastric volvulus occurred through a giant dia− phragmatic defect (Figure 1), who pre− sented with a 1−week history of abdomi− nal pain, distension, vomiting, and dys− phagia. At surgery, the gastroesophag...

INTRODUCTION We present a case of a cecal bascule, a rare type of cecal volvulus, as a complication of a laparoscopic ventral hernia repair. CASE DESCRIPTION A 73-y-old male with a ventral hernia underwent an uneventful elective laparoscopic repair. He developed an acute abdomen on postoperative day 6, and imaging demonstrated a cecal bascule. Exploratory laparotomy revealed a cecal bascule w...