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Caecal volvulus following left-side laparoscopic retroperitoneal nephroureterectomy
  1. Mohammad Yusuf Abdoolraheem1,
  2. Mohammed Kamil Quraishi2,
  3. Alfredo Tonsi3 and
  4. Alastair Henderson4
  1. 1 School of Medical Education, King’s College London, London, UK
  2. 2 Urology, Kent and Canterbury Hospital, Canterbury, Kent, UK
  3. 3 General Surgery, Medway Maritime Hospital, Gillingham, Kent, UK
  4. 4 Urology, Maidstone and Tunbridge Wells NHS Trust, Maidstone, Kent, UK
  1. Correspondence to Mr Mohammad Yusuf Abdoolraheem, k1328933{at}, yusuf.a.raheem{at}


Caecal volvulus is an uncommon cause of intestinal obstruction, with a high associated morbidity and mortality. Caecal volvulus is a very rare complication following retroperitoneal surgery. As such, a high degree of clinical suspicion is warranted post operatively to minimise delay in definitively investigating and managing this condition. We present a case of an 80-year-old Caucasian woman who was admitted for an elective left-sided laparoscopic retroperitoneal nephroureterectomy for transitional cell carcinoma of the left upper pole renal calyx. Postoperatively, the patient developed intestinal obstruction, secondary to caecal volvulus. The patient underwent an emergency laparotomy and limited right-sided colonic resection with primary anastomosis.

  • urology
  • urological surgery
  • general surgery

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  • Contributors MYA and MKQ were involved in the conception, original design, editing and reviewing process for the manuscript. AT and AH were involved in the editing process for this manuscript and made contributions to the background and discussion within this manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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