Subhepatic cecum

Case contributed by Bruno Di Muzio
Diagnosis not applicable


Incidental finding.

Patient Data

Age: 40 years
Gender: Male

CT Abdomen and pelvis


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

The remainder of the exam is unremarkable. 

Case Discussion

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

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