Cecal volvulus

Case contributed by Dr Ian Bickle

Presentation

Admitted with pyonephrosis of a non functioning left kidney. Developed a distended abdomen during admission.

Patient Data

Age: 64
Gender: Female
X-ray

Left nephrostomy tube. Dilated featureless loop of bowel in the central abdomen. Small bowel dilatation. Gas in the ascending colon.

Case Discussion

The large loop of dilated bowel in the central abdomen is the volved cecum, with a resultant small bowel obstruction.

This film is made more challenging by the gas retained in the semi-dilated ascending colon.

At surgery a cecal volvulus was identified and surgically corrected.

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Case information

rID: 33334
Published: 8th Jan 2015
Last edited: 16th Jul 2018
Tag: rdgh
Inclusion in quiz mode: Included

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