Presentation
Acute right upper quadrant pain
Patient Data
Age: 75 years
Gender: Female
From the case:
Cecal volvulus - atypical
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Cecum has gone from normal right iliac fossa position (previous scan) to enter the space between liver and hemidiaphragm (current scan), taking the ileo-colic artery with it. Distended cecum and small bowel (obstruction) with adjacent free fluid, indicating the possibility of venous ischemia in the volved segment. Note how the liver has become grossly distorted by the markedly distended cecum.
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Situation one month earlier.
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