Mobile cecum syndrome

Case contributed by Dr Ahmed Zidan

Presentation

Vague lower abdominal pain.

Patient Data

Age: 30 years
Gender: Female
CT

Long cecum with its pole reaching deep into the true pelvis within the pouch of Douglas and abutting the dorsal surface of the uterus.

Case Discussion

Mobile cecum is defined as a failure of cecum, terminal ileum, and right colon along with the mesentery to fuse to the posterior parietal peritoneal wall.

It is most commonly asymptomatic but does carry a risk of cecal volvulus.

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