Subhepatic caecum

Case contributed by Dr Bruno Di Muzio

Presentation

Incidental finding.

Patient Data

Age: 40-year-old
Gender: Male

CT Abdomen and pelvis

Modality: CT

Technique: Non-contrasted volumetric acquisition through the abdomen and pelvis. 

Findings: Diffuse mild decrease in the liver attenuation compared to the spleen (fatty liver). 

Left non-obstructive nephrolithiasis. 

Bowels with normal distention. The caecum has a subhepatic position (anatomic variant). The appendix is normal in appearance. Some small diverticula scattered through the distal colon.  

The remainder exams is unremarkable. 

Case Discussion

This case is illustrative of a subhepatic caecum, which occurs as a failure of the caecum to migrate to its typical position during midgut rotation in embryogenesis. The appendix has a normal appearance, located together with the inferior hepatic border. 

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Case Information

rID: 41899
Case created: 25th Dec 2015
Last edited: 25th Dec 2015
Inclusion in quiz mode: Excluded

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