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