Volvulus of cecum and part of ascending colon and terminal ileum
Definitions
Cecal volvulus
Type 1: Clockwise axial rotation of cecum along long axis
Type 2: Rotation of portion of cecum and portion of terminal ileum
More common (80%)
Cecal bascule
Anterosuperior folding of cecum without associated twisting; less common (5-20%)
IMAGING
General Features
Radiographic Findings
Fluoroscopic Findings
CT Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Le CK et al: Cecal volvulus. StatPearls, 2021
Verheyden C et al: Large-bowel obstruction: CT findings, pitfalls, tips and tricks. Eur J Radiol. 130:109155, 2020
Bauman ZM et al: Volvulus. Surg Clin North Am. 98(5):973-93, 2018
Halabi WJ et al: Colonic volvulus in the United States: trends, outcomes, and predictors of mortality. Ann Surg. 259(2):293-301, 2014
Heller MT et al: MDCT of acute cecal conditions. Emerg Radiol. 21(1):75-82, 2014
Vande Weygaerde Y et al: Volvulus of cecum and ileo-ileal intussusception. JBR-BTR. 97(3):180-1, 2014
Loizides S et al: An unusual cause of bowel obstruction: caecal volvulus. Br J Hosp Med (Lond). 74(1):55, 2013
Hogan BA et al: Cecal volvulus in pregnancy: report of a case and review of the safety and utility of medical diagnostic imaging in the assessment of the acute abdomen during pregnancy. Emerg Radiol. 15(2):127-31, 2008
Hoeffel C et al: Multi-detector row CT: spectrum of diseases involving the ileocecal area. Radiographics. 26(5):1373-90, 2006
Consorti ET et al: Diagnosis and treatment of caecal volvulus. Postgrad Med J. 81(962):772-6, 2005
Moore CJ et al: CT of cecal volvulus: unraveling the image. AJR Am J Roentgenol. 177(1):95-8, 2001
Hemingway AP: Caecal volvulus--a new twist to the barium enema. Br J Radiol. 53(632):806-7, 1980
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
Volvulus of cecum and part of ascending colon and terminal ileum
Definitions
Cecal volvulus
Type 1: Clockwise axial rotation of cecum along long axis
Type 2: Rotation of portion of cecum and portion of terminal ileum
More common (80%)
Cecal bascule
Anterosuperior folding of cecum without associated twisting; less common (5-20%)
IMAGING
General Features
Radiographic Findings
Fluoroscopic Findings
CT Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Le CK et al: Cecal volvulus. StatPearls, 2021
Verheyden C et al: Large-bowel obstruction: CT findings, pitfalls, tips and tricks. Eur J Radiol. 130:109155, 2020
Bauman ZM et al: Volvulus. Surg Clin North Am. 98(5):973-93, 2018
Halabi WJ et al: Colonic volvulus in the United States: trends, outcomes, and predictors of mortality. Ann Surg. 259(2):293-301, 2014
Heller MT et al: MDCT of acute cecal conditions. Emerg Radiol. 21(1):75-82, 2014
Vande Weygaerde Y et al: Volvulus of cecum and ileo-ileal intussusception. JBR-BTR. 97(3):180-1, 2014
Loizides S et al: An unusual cause of bowel obstruction: caecal volvulus. Br J Hosp Med (Lond). 74(1):55, 2013
Hogan BA et al: Cecal volvulus in pregnancy: report of a case and review of the safety and utility of medical diagnostic imaging in the assessment of the acute abdomen during pregnancy. Emerg Radiol. 15(2):127-31, 2008
Hoeffel C et al: Multi-detector row CT: spectrum of diseases involving the ileocecal area. Radiographics. 26(5):1373-90, 2006
Consorti ET et al: Diagnosis and treatment of caecal volvulus. Postgrad Med J. 81(962):772-6, 2005
Moore CJ et al: CT of cecal volvulus: unraveling the image. AJR Am J Roentgenol. 177(1):95-8, 2001
Hemingway AP: Caecal volvulus--a new twist to the barium enema. Br J Radiol. 53(632):806-7, 1980
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