Cecal volvulus is a rare cause of acute abdomen, accounting for 1%-3% of intestinal obstructions, and is seldom associated with intestinal nonrotation. Early diagnosis is crucial for improving outcomes, as shown in the case of a 53-year-old male with a 24-hour history of constipation, bloating, colicky pain, and bilious vomiting. He exhibited signs of severe illness, including tachycardia, fever, and abdominal distention, with blood tests showing acute inflammation.
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