Cecal Volvulus-A Diagnostic Challenge

A systematic review of the management and outcomes of cecal and appendiceal volvulus in children

“…The literature search revealed 76 papers, with 24 meeting the inclusion criteria, as detailed in Figure . All the papers included in this review were case reports, with a total of 29 patients, as detailed in Table . The median age was 10 ± 4.5 years, with a range of five days to 15 years, and the patients were predominantly male (72%).…”

“…Overall, a preoperative diagnosis of volvulus was made in nine children (31%) . In the other cases, interventions were indicated due to a clinical and radiological diagnosis of bowel obstruction in 18 cases , pneumoperitoneum in one and appendiceal abscess in another patient .…”

“…There were no deaths. The follow‐up period was mentioned in 11 cases, with a median period of one ±1.82 years and range of three months to five years .…”

Cecal Bascule in a COVID-19 Positive Patient: Case Report

“… 11 The coffee bean is characterized by juxtaposition of the medial walls of the dilated cecum creating the central cleft of the coffee bean while the lateral walls of the distended bowel form the outer parts of the bean. 12 Bird beak refers to the gradually tapering loops of bowel which then end at the site of obstruction. 13 The whirl sign is more specific for volvulus and consists of spiraled loops of collapsed cecum.…”