Introduction:
Cecal volvulus is a rare clinical condition with an incidence ranging from 2.8 to 7.1 per million people per year, and it accountaccounts for 1-2 % of all large bowlbowel obstruction (1). Caecum is the second location of colonic volvulus (2). It was firstly (first)first described by Rokitanksy in 1837 as a cause of intestinal strangulation (3). The physiopathology is characterized by an axial twist of caecum, terminal ileum and the ascendant right colon around their mesenteric pedicles (1, 4). The essential mechanism is the association of cecal hyper mobility with (and) a precipitating factor such as colonic tumor, abdominal masses, pregnancies and some congenital conditionconditions such Ehlers-Danlos syndrome (5-7).
caecalCaecal hypermobility results from a congenital defect of cecal fixation on the posterior parietal peritoneum (8). Cecal volvulus associated with pregnancy was reported in several publications, and it occurs (occurring) with an incidence ranging from 1/2500 to 1/3500 (9-11). The gravid uterus raises the mobile cecum out of the pelvis, and a caecal plication occurs leading to an obstruction. The distended caecum and ascending colon can twist around the mesenteric pedicles (5, 6). No publication reported a cecal volvulus in the post partum period after a cesarean section delivery.
Actually, we reportreported a historical case of accuteacute abdominal pain due to cecal volvulus ten days after a cesarian section delivery.