Cecal volvulus

Case contributed by Sakher Alkhaderi
Diagnosis certain


Colicky abdominal pain, vomiting and abdominal distension.

Patient Data

Age: 35 years
Gender: Male

On the scout image: Markedly dilated cecum which appears as bean-shaped air-filled bowel loop in the left side of the abdomen.

CT: Extreme dilatation of the cecum in the left side of the abdomen with identified two limbs that converge and taper resulting in whirl sign and bird beak sign consistent with cecal volvulus.

Case Discussion

Laparotomy and right hemicolectomy was done and confirmed the diagnosis of cecal volvulus.

The predisposing factor was free and mobile peritoneal attachment.  

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