Mobile cecum is an anatomical variant and is often defined as a failure of the cecum, terminal ileum, and right colon, along with the mesentery, to fuse to the posterior parietal peritoneal wall. This results in increased mobility of the cecum.
It has been estimated to occur in 10-20 % of the population 4.
It is asymptomatic in many cases, but if symptomatic, may result in mobile cecum syndrome.
- cecal volvulus: rare, but may also carry a higher complication rate in the event that it occurs
- mechanical bowel obstruction: rare
Treatment and prognosis
Cecopexy (i.e. surgical fixation of the cecum) 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