Subhepatic cecum

Case contributed by Ammar Haouimi
Diagnosis certain

Presentation

Abdominal pain. Incidental finding.

Patient Data

Age: 30 years
Gender: Male
ct
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
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Info

Diffusely decreased hepatic attenuation compared to the spleen in keeping with diffuse hepatic steatosis.

The cecum is of subhepatic location with a normal appearance of the terminal ileum and appendix.

Otherwise normal abdominopelvic CT exam. 

Annotated image
Coronal
C+
Coronal
C+
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Info

Annotated images:

  • red arrow = cecum

  • green arrow = terminal ileum

  • yellow arrow = appendix

Case Discussion

CT features of a subhepatic cecum which is due to the failure of the cecum to migrate to its typical position during midgut rotation in embryogenesis. Such a case may present a dilemma in patients with acute appendicitis where the pain or tenderness is located in the subhepatic region.

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