Caecal volvulus

Case contributed by Dr Chris O'Donnell

Presentation

Abdominal pain and distention with nausea.

Patient Data

Age: 50
Gender: Female
Modality: CT

Scout view showing a markedly distended large bowel loop in the left side of the abdomen. CT demonstrates the large bowel mass is a grossly distended food-filled caecum that is not in the right iliac fossa but in the left side of the abdomen. The axial slices clearly show the ileum passing thorugh a 360 degree rotation to enter the abnormally positioned caecum.

Modality: Annotated image

The terminal ileum (yellow) and ascending colon (blue) can be traced to whirl around each other, the mesenteric vessels (red) acting as the axis of rotation. The appendix is also visible, distended by gas and fluid. 

Case Discussion

This case illustrates fairly typical appearances of a caecal volvulus. 

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Case Information

rID: 16702
Case created: 12th Feb 2012
Last edited: 18th Nov 2016
Inclusion in quiz mode: Included

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