How is the diagnosis of cecal volvulus confirmed?

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How is the diagnosis of cecal volvulus confirmed?​

A diagnosis of cecal volvulus often is confirmed with a contrast material enema study or CT. During the enema, the distal colon usually is decompressed, and there is a beaklike tapering at the level of the volvulus.

What are the CTCT findings of sigmoid volvulus?​

CT Findings of Sigmoid Volvulus. The most sensitive findings of volvulus were presence of at least one sigmoid colon transition point (20/21, 95%) and disproportionate enlargement of the sigmoid (18/21, 86%). The whirl sign was present in 12 of 21 cases (57%). We identified the X-marks-the-spot sign (Fig.
What are the signs and symptoms of volvulus?
The clinical symptoms associated with volvulus commonly are nonspecific and include pain, nausea, and vomiting. Because it is rarely diagnosed clinically, clinicians often consult radiologists for diagnostic evaluations; radiography, fluoroscopy, and computed tomography (CT) are the modalities most frequently employed.
How many types of volvulus are there in the abdomen?
Within the abdomen, there are 4 main mesentries and hence, 4 types of volvulus: gastric volvulus. midgut volvulus. cecal volvulus.

The terminal ileum is usually twisted along with the cecum. Visualization of a gas-filled appendix confirms the diagnosis. There is a variant of cecal volvulus termed a ” cecal bascule ” that occurs when the cecum folds anteriorly without any torsion.

How is sigmoid volvulus differentiated from cecal volvuli on plain film?​

The following points may be helpful to distinguish between sigmoid volvulus and cecal volvulus on plain film. sigmoid volvulus causes obstruction of the distal large bowel, therefore the ascending, transverse and descending colon may be dilated 1. Feldman D. The coffee bean sign.

What is the difference between a cecal volvulus and a bascule?​

There is a variant of cecal volvulus termed a ” cecal bascule ” that occurs when the cecum folds anteriorly without any torsion. A cecal bascule is often seen as a dilated loop in the mid-abdomen and although there is an association with prior surgery, adhesions, and bands they are not essential for a volvulus to occur.