Presentation
Abdominal pain. Incidental finding.
Patient Data
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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.
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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.