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 years
Gender: Female

Caecum 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 caecum and small bowel (obstruction) with adjacent free fluid, indicating the possibility of venous ischaemia in the volved segment. Note how the liver has become grossly distorted by the markedly distended caecum.

Situation one month earlier.

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Case information

rID: 22174
Case created: 17th Mar 2013
Last edited: 8th Apr 2018
Inclusion in quiz mode: Included

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