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Case of the Week 442




What is the most likely diagnosis?

  • 39 year-old male with acute abdominal pain



Contrast-enhanced Coronal-Reformatted CT of Abdomen

  1. Chordoma
  2. Sigmoid volvulus
  3. Cirrhosis
  4. Hirschprung Disease
  5. Cecal volvulus

Additional Image - Another Contrast-enhanced Coronal-Reformatted CT of Abdomen

 

Additional Images

 

Contrast-enhanced Coronal-Reformatted CT of Abdomen

 


Answer:

.


5. Cecal volvulus

.

.

More (Click Discussion Tab)


 

Cecal volvulus

 

General Considerations

  • Volvulus is 3rd most common cause of colonic obstruction
    • Following obstructing carcinoma and inflammatory stricture
  • Two most common forms are
    • Cecal
    • Sigmoid
  • Cecal volvulus can be associated with
    • Malrotation of the colon
    • Abnormally long mesentery of cecum and ascending colon

MORE . . .


.

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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.