Caecal volvulus

Case contributed by Dr Matthew Lukies

Presentation

Severe generalised abdominal pain. No bowel action for 2 days.

Patient Data

Age: 60
Gender: Female
Modality: CT

Case Discussion

The findings of this CT were conveyed to the treating surgical registrar and the patient proceeded to undergo a right hemicolectomy.

The pathological macroscopic findings confirmed the diagnosis of caecal volvulus, with:

  • dilated caecum and ascending colon
  • thinned bowel wall (<1 mm)
  • grey/purple serosal surface

No malignant lesion was identified. No features of ischaemia on microscopic examination.

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Case Information

rID: 48543
Case created: 12th Oct 2016
Last edited: 10th Jan 2017
Inclusion in quiz mode: Included

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