Unusual case of cecal volvulus in a pediatric patient. Operative note describes redundant cecum which had volvulized 3 turns. This likely occurred due to congenital lack of peritoneal fixation of the cecum, resulting in increased mobility. A few "flimsy adhesions" were noted in the operative note which may have served as a fulcrum for rotation. The annotated coronal images help to identify the relevant anatomy. Evaluating all three planes can be helpful as the key findings can be more apparent in one than another. 

Mesenteric adenopathy can frequently occur when there is congestion/ischemia due to volvulus, as in this case. However, sampling of the lymph nodes was recommended at the time of surgery, as lymphoproliferative disorder is in the differential (final pathology was benign reactive lymphoid hyperplasia).