Cecal volvulus after colonoscopy is exceedingly rare. In fact, only four such cases are reported in English medical literature, to the best of the authors' knowledge. We report the case of a 40-year-old female who underwent right hemicolectomy for cecal volvulus precipitated by colonoscopy. This condition accounts for approximately 40% of colonic torsion cases and requires a mobile cecum which allows twisting of the organ along its axis or anteromedial folding on the ascending colon. Inadequate fixation of cecum and ascending colon to the posterior parietal peritoneum is a prerequisite. Even though cadaver studies have demonstrated this predisposing factor in 11% to 25% of the population, cecal volvulus accounts for only 1% of all large bowel obstructions.
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