Mobile cecum syndrome is an embryological variation where the cecum is improperly fixed to the lateral abdominal wall, leaving it redundant and prone to twisting around its axis. It affects 10% of the population and more commonly females, with 2% presenting as acute intestinal obstruction. Patients often experience right lower quadrant pain, colicky pain, and alternating constipation and diarrhea. Treatment involves surgical fixation of the cecum to the lateral abdominal wall to prevent further twisting.

1. Mobile cecum syndrome

2. Introduction
• Embryological anatomic variation.
• Found in 10% of the population.
• More common in females
• 2% present as acute intestinal obstruction.
• Floppy cecum/mobile cecum syndrome/
Recurrent cecocolic torsion.

3. Embyrology
• Normal – Cecocolic fixation by mesocolon in
right paracolic gutter by 4 months of age.
• Improper cecal fixation to lateral wall.
• variable length of mesocolon leaves cecum
and ascending colon redundant.
• Funicular jackson membrane acts as a fulcrum
for twisting.

7. Clinical features
• Often present with features of IBS.
• Right lower quadrant pain.
• Colicky pain
• Constipation
• Diarrhea.
• Abdominal distension.
• Dyspareunia

9. Treatment
• Caecopexy with lateral peritoneal flap
• Lateral cecocolopexy.
• Cecocolopexy with appendicectomy
• Resection of jackson membrane and
parietocolic bands that serve as fulcrum for
twisting of the cecum.