343 results match your criteria: "Cecal Volvulus Imaging"

Introduction And Importance: Cecal volvulus is an uncommon cause of large bowel obstruction that typically presents in older adults with a history of chronic constipation or prior abdominal surgery. However, this report documents a rare and atypical case of cecal volvulus presenting in a middle-aged female with no significant past medical or surgical history. This case also highlights the benefits of adopting a synergistic approach between a physician's clinical judgment and the patient's presentation when making a diagnosis to ensure timely interventions and prevent life-threatening complications.

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Endometriosis, characterized by the ectopic implantation of endometrial tissue, typically involves pelvic structures but infrequently extends to extrapelvic sites such as the gastrointestinal tract. In this report, we present a case of a 44-year-old woman with diffuse abdominal discomfort and constipation. Computed tomography imaging revealed a mass in the cecum, leading to diagnostic colonoscopy and subsequent magnetic resonance imaging.

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Background: Intussusception with intestinal malrotation is termed as Waugh's syndrome. The incidence of Waugh's syndrome is less than 1%. There are very few reported cases.

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BACKGROUND Reversed intestinal malrotation is an extremely rare disease, with an incidence of 1 in 250 000. In Japan, application of robotic-assisted colorectal cancer surgery is expected to increase. There are no reports of robot-assisted surgery for cecal cancer with reversed intestinal malrotation.

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Intestinal malrotation is primarily diagnosed in the neonatal period, when symptoms typically first appear. In contrast, occurrences in adults are quite uncommon. Adult cases are less frequently reported, often because the condition remains asymptomatic or presents with nonspecific symptoms that can delay diagnosis.

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Article Synopsis
  • A 49-year-old woman with a history of hiatal hernia and biliary issues experienced severe abdominal pain following a gastrointestinal illness, prompting her visit to the emergency department.
  • Initial tests showed an elevated white blood cell count, and CT scans indicated gastric distension and volvulus, but the actual issue was a bowel herniation through the foramen of Winslow.
  • During surgery, doctors found that her right colon was trapped, causing a blockage; the herniation was successfully reduced, leading to significant relief of her symptoms.
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Cecal volvulus secondary to mesodiverticular band.

J Surg Case Rep

May 2024

Department of Surgery, Division of Trauma and Acute Care Surgery, Atrium Health Wake Forest Baptist Hospital, Winston-Salem, NC 27157, United States.

Article Synopsis
  • Meckel's diverticula are common gastrointestinal anomalies, but mesodiverticular bands are rare and typically require surgical treatment.
  • A healthy 20s patient experienced acute abdominal pain, and imaging revealed a large intestine volvulus due to a mesodiverticular band connecting the ileal mesentery and a Meckel's diverticulum.
  • The patient had surgery, successfully underwent resection, and recovered well; mesodiverticular bands can cause serious issues like hemoperitoneum, small bowel obstruction, and volvulus but are often diagnosed during surgery.
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Cecal volvulus in complete common mesentery.

J Visc Surg

June 2024

Digestive surgery department, hôpital Lariboisière - Saint-Louis, Assistance publique-Hôpitaux de Paris (AP-HP), 2, rue Ambroise-Paré, 75010 Paris, France.

Article Synopsis
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Background: Appendicitis is one of the most common causes of acute abdominal pain and remains the most common abdominal-related emergency seen in emergency room that needs urgent surgery (Yang et al. in J Emerg Med 43:980-2, 2012. 10.

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Evaluation of 18 CT signs in diagnosing cecal volvulus: a multi-reader retrospective study.

Abdom Radiol (NY)

February 2024

Department of Radiology, Feinberg School of Medicine, Northwestern University, 676 North St. Clair Street, Suite 800, Chicago, IL, 60611, USA.

Purpose: To assess the diagnostic performance and reliability of 18 CT signs to diagnose cecal volvulus, a surgical emergency, versus a group of non-volvulus mimickers.

Materials And Methods: Four radiologists retrospectively and independently assessed 18 CT signs in 191 patients with cecal volvulus (n = 63) or a non-volvulus control group ((n = 128), including cecal bascule (n = 19), mobile cecum (n = 95), and colonic pseudo-obstruction (n = 14)) at a single institution from 2013 to 2021. Fleiss' kappa coefficient was used to assess inter-reader agreement.

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Article Synopsis
  • Caecal volvulus (CV) is a rare cause of large bowel obstruction caused by the twisting of the caecum and nearby structures, often leading to vague symptoms.
  • A 37-year-old man presented with symptoms similar to an obstructed hernia and was diagnosed with CV after imaging showed a dilated ileum and collapsed colon, followed by emergency surgery.
  • Successful recovery post-surgery emphasizes the importance of considering rare conditions like CV in abdominal pain cases and highlights the need for effective imaging and diagnostic strategies.
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Cecal volvulus represents a rare form of acute intestinal obstruction caused by an axial twist of the terminal ileum, ascending colon, and cecum surrounding the mesenteric pedicle. It is responsible for 1%-1.5% of all intestinal obstruction cases in adults.

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