Clinics in diagnostic imaging (171). Caecal volvulus with underlying intestinal malrotation.

ABSTRACT: A 46-year-old Chinese woman with a history of cholecystectomy and appendicectomy presented to the emergency department with symptoms of intestinal obstruction. Physical examination revealed central abdominal tenderness but no clinical features of peritonism. Plain radiography of the abdomen revealed a grossly distended large bowel loop with the long axis extending from the right lower abdomen toward the epigastrium, and an intraluminal air-fluid level. These findings were suspicious for an acute caecal volvulus, which was confirmed on subsequent contrast-enhanced computed tomography (CT) of the abdomen and pelvis. CT demonstrated an abnormal positional relationship between the superior mesenteric vein and artery, indicative of an underlying intestinal malrotation. This case highlights the

SUBMITTER: Ooi SK 

PROVIDER: S-EPMC5331133 | biostudies-literature | 2016 Nov

REPOSITORIES: biostudies-literature