Presentation
Abdominal pain and distension.
Patient Data
Age: 75 years
Gender: Female
From the case:
Cecal volvulus
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Surgical clips in the right upper quadrant.
Large dilated cecum in the central upper abdomen.
The large bowel is collapsed.
Calcified uterine fibroid.
From the case:
Cecal volvulus
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The cecum is grossly dilated lying in the central abdomen with the cecal pole lying to the left of the midline. Intramural air in the cecum. No small bowel dilatation.
The ileocecal valve lies just to the left of the midline.
No free gas or fluid.
Cholecystectomy.
Simple renal cortical cysts. Left adrenal adenoma. Calcified uterine fibroid.
Case Discussion
The patient proceeded to surgery confirming a cecal volvulus.
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