Mobile caecum is an anatomical variant and often is defined as a failure of cecum, terminal ileum, and right colon along with the mesentery to fuse to the posterior parietal peritoneal wall. This results in increased mobilty of the caecum
It has been been estimated to occur in 10-20 % of the population 4.
It can be asymptomatic in many case but if symptomatic may result in mobile caecum syndrome.
- caecal volvulus: rare (it may also carry a higher complication rate in an event of a caecal volvulus
- mechanical bowel obstruction: rare
Treatment and prognosis
Caecopexy is sometimes performed in selected symptomatic cases.
- 1. Rogers RL, Harford FJ. Mobile cecum syndrome. Dis. Colon Rectum. 1984;27 (6): 399-402. Pubmed citation
- 2. Makama JG, Ahmed A, Ukwenya Y et-al. Mobile caecum and ascending colon syndrome in a Nigerian adult. Ann Afr Med. 2009;8 (2): 133-5. doi:10.4103/1596-3519.56243 - Pubmed citation
- 3. Tsushimi T, Kurazumi H, Takemoto Y et-al. Laparoscopic cecopexy for mobile cecum syndrome manifesting as cecal volvulus: report of a case. Surg. Today. 2008;38 (4): 359-62. doi:10.1007/s00595-007-3620-7 - Pubmed citation
- 4. Garude K, Rao S. Mobile cecum: an incidental finding. Indian J Surg. 2013;75 (4): 265-7. doi:10.1007/s12262-012-0529-1 - Free text at pubmed - Pubmed citation
- 5. Silva AC, Beaty SD, Hara AK et-al. Spectrum of normal and abnormal CT appearances of the ileocecal valve and cecum with endoscopic and surgical correlation. Radiographics. 2007;27 (4): 1039-54. doi:10.1148/rg.274065164 - Pubmed citation