Cecal volvulus

Case contributed by Dr Alexandra Stanislavsky

Presentation

Elderly lady presenting with abdominal pain and distension

Patient Data

Age: 80
Gender: Female
X-ray

Plain abdominal x-rays demonstrate several dilated small bowel loops, and a distended hollow viscus in the left upper quadrant.  Whilst this appears somewhat like a stomach, inspection of the erect images demonstrate the stomach (and hiatus hernia) superior to this. 

CT

CT of the abdomen confirms a cecal volvulus, with a whirl sign on the axial images.  The ileocecal junction is nicely displayed at the right superior aspect of the rotated cecum.

Case Discussion

Nicely demonstrated case of cecal volvulus, with a whirl sign .

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Case information

rID: 13652
Published: 2nd May 2011
Last edited: 8th Apr 2019
Tag: caecum
Inclusion in quiz mode: Included

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