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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%)
- Cecal volvulus
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%)
- Cecal volvulus
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
