She was diagnosed with a caecal volvulus without perforation on CT, which was confirmed by laparotomy. The patient was treated with a hemicolectomy and made a full recovery.Julie Isabelle Plougmann GislingeCecilie Johanne ScheuerCamilla Hauge Toustrup...
Since both caecal volvulus and intestinal malrotation are scarce, clinical diagnosis is challenging. Therefore abdominal CT has become mandatory for pre-operative diagnosis of intestinal volvulus. The ‘whirl’ sign, beak sign, intestinal twisting, and the direction of the volvulus have been described...
Manuscript AMS-D-16-00002 is a case report of a caecum volvulus mimicking Ogilvie syndrome in a hospitalized patient with a pelvis fracture. I recommend approval with minor revision. How long was the interval between the CT scan and the exploratory laparotomy? Was there an attempt of decompressi...
Caecal volvulus often presents with abdominal distension, vomiting and colicky pain. It involves a clockwise rotation of the cecum, leading to a closed-loop obstruction. An abdominal X-ray may show a dilated caecum or inverted comma-shaped caecal shadow; CT abdomen may demonstrate a 'coffee ...
By this time, MRI was no longer available so a CT occurred at 9pm which showed caecal volvulus with acute ischaemia. TREATMENT. At emergency laparotomy, the diagnosis of caecal volvulus was confirmed with a non-viable ascending colon but no perforation or enteric contamination. A right hemi...
Following clinical suspicion after thorough history and examination, computed tomography (CT)-scan confirmed the diagnosis of caecal volvulus. Results: All three underwent emergency right hemicolectomy (2 laparoscopic, 1 open) with end-to-end anastomosis within three hours of admission. All experienced...
VOLVULUSINTESTINAL intussusceptionBOWEL obstructionsGENETIC disordersTOMOGRAPHYABDOMINAL surgeryTHERAPEUTICSThe article discusses the condition of a 55-yaer-old man having concurrent caecal volvulus through a congenital defect and proximal intussusception. It says that a computer tomography (...
CT imaging has improved the early diagnosis of this condition and subsequently led to timely surgical care and reduced mortality. Often, the most challenging aspect of operative management is reduction of the volvulus or internal hernia. Unlike most other abdominal hernias, enlargement of the hernia ...
MacariM, Spieler B, Babb J, et al.Can the location of the CTwhirl sign assist in differentiating sigmoid from caecal volvulus? Clin Radiol. 2011;66:112-117.Macari M,Spieler B, Babb J,PachterHL. Can the location of the CT whirl sign assist in differentiating sigmoid from caecalvolvulus...
We present an 83-year-old female with one week history of a painful right iliac fossa swelling, her examination revealed a tender lump with no cough impulse and non-reducible and her computed tomography (CT) scan showed a mass anterior to ileocaecal valve suggestive of a caecal volvulus. ...