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Cecal Volvulus
Michael P. Federle, MD, FACR
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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
              • Definitions

                • Rotational twist of right colon on its axis, resulting in progressive distention and potential ischemia
                • Cecal bascule
                  • Cecum is distended and lumen narrowed by medial folding and displacement, without twist

              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

                                            1. Halabi WJ et al: Colonic volvulus in the United States: trends, outcomes, and predictors of mortality. Ann Surg. 259(2):293-301, 2014
                                            2. Heller MT et al: MDCT of acute cecal conditions. Emerg Radiol. 21(1):75-82, 2014
                                            3. Vande Weygaerde Y et al: Volvulus of cecum and ileo-ileal intussusception. JBR-BTR. 97(3):180-1, 2014
                                            4. Loizides S et al: An unusual cause of bowel obstruction: caecal volvulus. Br J Hosp Med (Lond). 74(1):55, 2013
                                            5. 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
                                            6. Hoeffel C et al: Multi-detector row CT: spectrum of diseases involving the ileocecal area. Radiographics. 26(5):1373-90, 2006
                                            7. Consorti ET et al: Diagnosis and treatment of caecal volvulus. Postgrad Med J. 81(962):772-6, 2005
                                            8. Moore CJ et al: CT of cecal volvulus: unraveling the image. AJR Am J Roentgenol. 177(1):95-8, 2001
                                            9. 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
                                                        • Definitions

                                                          • Rotational twist of right colon on its axis, resulting in progressive distention and potential ischemia
                                                          • Cecal bascule
                                                            • Cecum is distended and lumen narrowed by medial folding and displacement, without twist

                                                        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

                                                                                      1. Halabi WJ et al: Colonic volvulus in the United States: trends, outcomes, and predictors of mortality. Ann Surg. 259(2):293-301, 2014
                                                                                      2. Heller MT et al: MDCT of acute cecal conditions. Emerg Radiol. 21(1):75-82, 2014
                                                                                      3. Vande Weygaerde Y et al: Volvulus of cecum and ileo-ileal intussusception. JBR-BTR. 97(3):180-1, 2014
                                                                                      4. Loizides S et al: An unusual cause of bowel obstruction: caecal volvulus. Br J Hosp Med (Lond). 74(1):55, 2013
                                                                                      5. 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
                                                                                      6. Hoeffel C et al: Multi-detector row CT: spectrum of diseases involving the ileocecal area. Radiographics. 26(5):1373-90, 2006
                                                                                      7. Consorti ET et al: Diagnosis and treatment of caecal volvulus. Postgrad Med J. 81(962):772-6, 2005
                                                                                      8. Moore CJ et al: CT of cecal volvulus: unraveling the image. AJR Am J Roentgenol. 177(1):95-8, 2001
                                                                                      9. Hemingway AP: Caecal volvulus--a new twist to the barium enema. Br J Radiol. 53(632):806-7, 1980