as a complication of gastric banding.
A cecal volvulus
can appear very similar to a sigmoid volvulus; however, a cecal volvulus
should have only one air-fluid level, whereas a sigmoid volvulus may demonstrate two air-fluid levels.
Sigmoid volvulus is by far the most common type, accounting for about two thirds of all cases; cecal volvulus
accounts for most of the remaining cases.
Pruett of the University of Minnesota in Minneapolis and his colleagues treated two marathoners who developed cecal volvulus, a twisting of the first portion of the large intestine that obstructs the movement of bowel material and causes great pain.
Neither had any of the traditional risk factors for cecal volvulus, such as a pelvic mass or pregnancy, the researchers report in the May 9 NEW ENGLAND JOURNAL OF MEDICINE.
Although the worldwide incidence of acute appendicitis is 7% to 12%, (1) and cecal volvulus causes 5% of large bowel obstructions, we found no concurrent cases in English medical literature, and only 2 cases in non-English literature.
The average age of patients at presentation with cecal volvulus is 53 years.
Cecal volvulus in pregnancy--Case report and review of literature.
Cecal volvulus in pregnancy: report of a case and review of the safety and utility of medical diagnostic imaging in the assessment of the acute abdomen during pregnancy.
The classic plain radiographic presentation of cecal volvulus is that of a massively dilated bowel loop projecting into the left middle or upper abdomen.
Acute fulminant cecal volvulus ischemic bowel with pseudomembranous colitis
classically manifests as a kidney-shaped mass in the left upper quadrant or epigastrium (10) and sigmoid volvulus as an inverted "U" arising vertically or obliquely from the pelvis or as three curved lines converging toward the pelvis.