Demographics:
37 years old, Male
Indication:
Generalized abdominal pain
Findings
Lower chest
- No acute findings
Abdomen/Pelvis
- Massively distending, medially displaced cecum with associated pneumatosis
- Gas within the ileocolic and superior mesenteric veins extending to the main portal vein and intrahepatic portal branches
- Subcentimeter hypoattenuating lesion in the right kidney, which is too small to characterize
MSK
- No acute findings
Diagnosis
Cecal volvulus
Sample Report
Findings consistent with cecal volvulus and associated ischemia evidenced by cecal pneumatosis and portal venous gas. No evidence of perforation. Recommend surgical consultation.
Discussion