Demographics:
30 years old, Female
Indication:
Right lower quadrant pain
Findings
Lower chest
- No acute findings
- Small hiatal hernia
Abdomen/Pelvis
- Dilated cecum which is displaced into the mid abdomen with possible associated swirling of the ileocecal mesentery
- No pneumatosis, portal venous gas, or pneumoperitoneum
- Moderate colonic stool burden
- Normal appendix
MSK
- No acute findings
Diagnosis
Cecal volvulus
Sample Report
Dilated, displaced cecum with possible associated mesenteric swirling, which could represent cecal volvulus versus cecal bascule. No evidence of ischemia at this time. Recommend surgical evaluation.
Discussion