Atypical caecal volvulus between liver and right hemidiaphragm

Case contributed by Dr Chris O'Donnell

Presentation

Acute right upper quadrant pain

Patient Data

Age: 75
Gender: Female

Caecum has gone from normal RIF position (previous scan) to enter the interspace between liver and hemidiaphragm (current scan), taking the ileo-colic artrey with it. Distended caecum and small bowel (obstruction) with adjacent free fluid = possibility of venous ischaemia in the volved segment. Note how the liver has become grossly distorted by the markedly distended caecum.

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Case information

rID: 22174
Case created: 17th Mar 2013
Last edited: 16th Aug 2016
Inclusion in quiz mode: Included

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