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Case of the Week 596




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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