EURORAD ESR

Case 8696

Imaging of caecal volvulus in pregnancy

Author(s)
Haworth AE1, Kibriya N1, Young S1, Massey G2.
1. Royal Liverpool University Hospitals NHS Trust, UK
2. St Helens and Knowsley University Hospitals NHS Trust, UK
 
Patient
female, 21 year(s)
 
 
  • Figure 1
    AXR with lead shielding

    AXR showing dilated loop of large bowel within the left upper quadrant. Lead shielding obscures the remaining film.

     
    Area of Interest: Colon; Imaging Technique: Plain radiographic studies; Special Focus: Volvulus;
     
     
  • Figure 2
    T2W Coronal MR sequence

    Coronal T2W MR sequence showing grossly dilated caecum lying in the left upper quadrant with dilated small bowel loops in the right colic gutter in keeping with axial caecal volvulus with proximal obstruction.

     
    Area of Interest: Colon; Imaging Technique: MR; Special Focus: Volvulus;
     
     
  • Figure 3
    Coronal T2W MR sequence

    Grossly dilated caecum with dialated fluid-filled small bowel in the right paracolic gutter.

     
    Area of Interest: Colon; Imaging Technique: MR; Special Focus: Volvulus;
     
     
  • Figure 4
    T2W Axial MR sequence

    T1W axial images showing the dilated caecum occupying the central abdomen.

     
    Area of Interest: Colon; Imaging Technique: MR; Special Focus: Volvulus;
     
     
  • Figure 5
    T2W Axial MR sequence

    Malrotated small bowel in the right paracolic gutter. Dilated caecum with gas/fluid levels.

     
    Area of Interest: Colon; Imaging Technique: MR; Special Focus: Volvulus;
     
     
AXR showing dilated loop of large bowel within the left upper quadrant. Lead shielding obscures the remaining film.
 
Coronal T2W MR sequence showing grossly dilated caecum lying in the left upper quadrant with dilated small bowel loops in the right colic gutter in keeping with axial caecal volvulus with proximal obstruction.
 
Grossly dilated caecum with dialated fluid-filled small bowel in the right paracolic gutter.
 
T1W axial images showing the dilated caecum occupying the central abdomen.
 
Malrotated small bowel in the right paracolic gutter. Dilated caecum with gas/fluid levels.
 
 
 
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