Cecal Volvulus

  • Etiology:
  • Imaging: birds-beak obstruction of the ascending colon which points towards a dilated cecum

Cases of Cecal Volvulus

Enema of cecal volvulus
AXR AP taken immediately after an enema shows multiple dilated loops of air-filled small bowel with no reflux of contrast into the terminal ileum. The ascending colon ends in a beak which points to a dilated air-filled cecum in the right lower quadrant.
Surgical image of cecal volvulus
Surgical image shows an extremely distended cecum twisted around the pateint’s appendicovesicostomy tract. The distal ileum was also extremely dilated.