What are the diagnostic features in this case and what would you do after viewing this scan?
Medially positioned dilated caecum with pneumatosis and twisted mesentery. Telephone clinical team to advise them that urgent surgical referral is required: pneumatosis indicates ischaemia and risk of perforation.
Dilated thin-walled caecum with pneumatosis, measuring 9 cms in diameter.
Twisted mesentery at transition point, best seen on coronal reformats. Proximal ileal dilatation, diameter 5 cms. Distal colon non-distended.
Moderate ascites.
No portal venous gas.
Incidental Bartholin's cyst.