The Mobile Cecum Syndrome occurs when there is an absence of peritoneal attachment for the cecum and proximal ascending colon, resulting in excessive mobility.
Clinical features:
(1) chronic right lower quadrant abdominal and/or right flank pain (which may be described as crampy)
(2) intermittent abdominal distention associated with the pain
(3) relief after passing flatus or having a bowel movement
(4) may present with cecal volvulus
The increased mobility of the cecum may be detected on barium enema or during surgery.
Attachment of the cecum and ascending colon to the peritoneum (cecopexy) using a peritoneal flap is curative.
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