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Cecal volvulus: CT findings and correlation with pathophysiology.
Emerg Radiol. 2007 Nov; 14(6):411-5.ER

Abstract

The purpose of this study is to report the computed tomography (CT) features of cecal volvulus and to determine the accuracy of CT in distinguishing the three pathophysiological types of cecal volvulus. The CT studies of ten patients with surgically confirmed cecal volvulus were reviewed. For each patient, CT findings were looked for and recorded. The precise location of the cecum within the abdomen, the presence of an ileocecal twist, and the clockwise or counterclockwise direction of the whirl sign were specifically analyzed. All these results were confronted to the surgical diagnosis retrospectively correlated with the three types of cecal volvulus. According to our classification based on the analysis of the location of the cecum within the abdomen and the presence or the absence of a whirl sign on CT scans, the cecal volvulus was defined as the axial torsion type in four (40%) patients, loop type in four (40%) patients, and cecal bascule type in two (20%). For each patient, the result was in full accordance with the type of cecal volvulus diagnosed at surgery. CT is not only a valuable diagnostic technique in diagnosing cecal volvulus and its complications, but it is also useful in distinguishing the three pathophysiological types of cecal volvulus.

Authors+Show Affiliations

Service de Radiologie A, CHU Jean Minjoz, 3 bvd A. Fleming, 25030, Besancon, France. eric.delabrousse@orange.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17618472

Citation

Delabrousse, Eric, et al. "Cecal Volvulus: CT Findings and Correlation With Pathophysiology." Emergency Radiology, vol. 14, no. 6, 2007, pp. 411-5.
Delabrousse E, Sarliève P, Sailley N, et al. Cecal volvulus: CT findings and correlation with pathophysiology. Emerg Radiol. 2007;14(6):411-5.
Delabrousse, E., Sarliève, P., Sailley, N., Aubry, S., & Kastler, B. A. (2007). Cecal volvulus: CT findings and correlation with pathophysiology. Emergency Radiology, 14(6), 411-5.
Delabrousse E, et al. Cecal Volvulus: CT Findings and Correlation With Pathophysiology. Emerg Radiol. 2007;14(6):411-5. PubMed PMID: 17618472.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cecal volvulus: CT findings and correlation with pathophysiology. AU - Delabrousse,Eric, AU - Sarliève,Philippe, AU - Sailley,Nicolas, AU - Aubry,Sébastien, AU - Kastler,Bruno A, Y1 - 2007/07/06/ PY - 2007/02/27/received PY - 2007/06/07/accepted PY - 2007/7/10/pubmed PY - 2008/2/22/medline PY - 2007/7/10/entrez SP - 411 EP - 5 JF - Emergency radiology JO - Emerg Radiol VL - 14 IS - 6 N2 - The purpose of this study is to report the computed tomography (CT) features of cecal volvulus and to determine the accuracy of CT in distinguishing the three pathophysiological types of cecal volvulus. The CT studies of ten patients with surgically confirmed cecal volvulus were reviewed. For each patient, CT findings were looked for and recorded. The precise location of the cecum within the abdomen, the presence of an ileocecal twist, and the clockwise or counterclockwise direction of the whirl sign were specifically analyzed. All these results were confronted to the surgical diagnosis retrospectively correlated with the three types of cecal volvulus. According to our classification based on the analysis of the location of the cecum within the abdomen and the presence or the absence of a whirl sign on CT scans, the cecal volvulus was defined as the axial torsion type in four (40%) patients, loop type in four (40%) patients, and cecal bascule type in two (20%). For each patient, the result was in full accordance with the type of cecal volvulus diagnosed at surgery. CT is not only a valuable diagnostic technique in diagnosing cecal volvulus and its complications, but it is also useful in distinguishing the three pathophysiological types of cecal volvulus. SN - 1070-3004 UR - https://www.unboundmedicine.com/medline/citation/17618472/Cecal_volvulus:_CT_findings_and_correlation_with_pathophysiology_ L2 - https://dx.doi.org/10.1007/s10140-007-0647-4 DB - PRIME DP - Unbound Medicine ER -