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Early diagnosis is crucial for improving outcomes, as shown in the case of a 53-year-old male with a 24-hour history of constipation, bloating, colicky pain, and bilious vomiting. He exhibited signs of severe illness, including tachycardia, fever, and abdominal distention, with blood tests showing acute inflammation. After stabilization, an emergency laparotomy revealed a necrotic, 360\u00b0-twisted cecum and abnormal intestinal positioning. The patient underwent a right colectomy with appendectomy and ileostomy, recovering uneventfully and later having the stoma reversed. Though nonrotation is usually asymptomatic in adults, it can lead to life-threatening complications like volvulus, requiring surgical intervention. This case highlights the importance of recognizing embryologic abnormalities in adults with acute abdominal symptoms to prevent severe outcomes and underscores the need for prompt surgical treatment in cecal volvulus.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf616","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T11:19:24Z","timestamp":1753096764000},"source":"Crossref","is-referenced-by-count":0,"title":["Cecal volvulus and nonrotation: two rare pathologic entities as culprits of intestinal obstruction\u2014a case report"],"prefix":"10.1093","volume":"2025","author":[{"given":"Wondwosen Mengist","family":"Dereje","sequence":"first","affiliation":[{"name":"Department of Surgery, College of Medicine and Health Science, Gondar University , 212, Gondar 196 ,","place":["Ethiopia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Menarguachew Atanaw","family":"Sisay","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine and Health Science, Gondar University , 212, Gondar 196 ,","place":["Ethiopia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gedefaye Balekew","family":"Demlie","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine and Health Science, Gondar University , 212, Gondar 196 ,","place":["Ethiopia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yohannes Leweyehu","family":"Debasu","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine and Health Science, Gondar University , 212, Gondar 196 ,","place":["Ethiopia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eyob Bayeh","family":"Tsehay","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine and Health Science, Gondar University , 212, Gondar 196 ,","place":["Ethiopia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fikadie Mengist","family":"Dereje","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Rift Valley University , 180, Addis Ababa 1245 ,","place":["Ethiopia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0051-3095","authenticated-orcid":false,"given":"Asratu Getnet","family":"Amare","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine and Health Science, Gondar University , 212, Gondar 196 ,","place":["Ethiopia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,8,12]]},"reference":[{"key":"2025081221213028500_ref1","doi-asserted-by":"publisher","first-page":"772","DOI":"10.1136\/pgmj.2005.035311","article-title":"Diagnosis and treatment of caecal volvulus","volume":"81","author":"Consorti","year":"2005","journal-title":"Postgrad Med J"},{"key":"2025081221213028500_ref2","doi-asserted-by":"publisher","first-page":"3002","DOI":"10.1007\/s00261-021-02959-3","article-title":"Intestinal malrotation in adults: prevalence and findings based on CT colonography","volume":"46","author":"Perez","year":"2021","journal-title":"Abdom Radiol (NY)"},{"key":"2025081221213028500_ref3","volume-title":"The ASCRS textbook of colon and rectal surgery","author":"Steele","year":"2021"},{"key":"2025081221213028500_ref4","first-page":"607","article-title":"Colonic volvulus. 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