Presentation
An elderly female living at a nursing home presented with abdominal pain and distension, with constipation for two days.
Patient Data
Age: 85 years
Gender: Female
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Large pneumoperitoneum and cecal air-fluid level is visible.
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In supine plane, a dilated cecum (up to 14cm) with coffee bean sign originating from RLQ region along with air lucency in both paracolic gutters is visible.
Also dilatation of small bowels without large bowels is an important finding that suggests the volvulus location is the cecum.
From the case:
Cecal volvulus
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Extremely dilated cecum
Case Discussion
The patient was emergently transferred to OR and sudden air jet out happened.
Cecopexy was done.