Cecal volvulus

Case contributed by Alexandra Stanislavsky
Diagnosis certain

Presentation

Elderly lady presenting with abdominal pain and distension

Patient Data

Age: 80
Gender: Female
x-ray

Plain abdominal x-rays demonstrate several dilated small bowel loops, and a distended hollow viscus in the left upper quadrant.  Whilst this appears somewhat like a stomach, inspection of the erect images demonstrate the stomach (and hiatus hernia) superior to this. 

ct

CT of the abdomen confirms a cecal volvulus, with a whirl sign on the axial images.  The ileocecal junction is nicely displayed at the right superior aspect of the rotated cecum.

Case Discussion

Nicely demonstrated case of cecal volvulus, with a whirl sign .

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