Gangrenous cecal volvulus with 720° torsion and prolonged intraoperative hypotension in a resource-limited setting: a case report.

CASE PRESENTATION: A 45-year-old man presented after 5 days of abdominal pain, distension, obstipation, fever, and vomiting.

His pulse rate was 124 beats per minute, his blood pressure was 100/65 mmHg, and he demonstrated clear signs of peritonism.

The right colon was mobilized lateral-to-medial, the ileocolic vessels were ligated, and the mesenteric division was completed using hand-tied 3-0 Vicryl ligatures.

He remained hypotensive intraoperatively for about 40 minutes, with a nadir of 79/51 mmHg, and required crystalloids along with norepinephrine at 0.05 μg/kg/min.