Volvulus of the Cecum and Ascending Colon

The radiologic evaluation of gross cecal distension: emphasis on cecal ileus

“…Gross cecal distension may result from either mechanical obstruction or adynamic ileus [1 , 2]. Delay in diagnosis and treatment can lead to cecal perforation and death [3].…”

Simultaneous double obstruction of the proximal colon: A case report

“…The radiographic features of a right colon volvulus have been well documented [6,7]. On the supine abdominal film a large gas-filled viscus is noted in the upper abdomen extending into the left upper quadrant.…”

“…On the supine abdominal film a large gas-filled viscus is noted in the upper abdomen extending into the left upper quadrant. To assure that the dilated viscus is not a distended stomach, one could repeat the film after insertion of a nasogastric tube [6]. A paucity of colonic gas or fecal material is usually present throughout the remainder of the large bowel.…”

“…Several authors have discussed patients with second bowel lesions distal to the site of a colonic twist [5][6][7][8][9]. Figiel and Figiel [6] showed abdominal films of a patient with ascending colon volvulus and prominent gaseous distention of the transverse colon secondary to a coexistent carcinoma at the splenic flexure.…”

Colon cancer presented with sigmoid volvulus: A case report

“…In most reported cases, unlike that in our study, there is a colon volvulus in a colon segment in the proximal of segment harbouring cancer. Different authors have reported the association of tumour and cecal volvulus in left column [15] , tumour and ascending colon volvulus in splenic flexura [16] tumour and ascending colon volvulus in the transverse colon [17] , rectosigmoid tumour and cecal volvulus [18] and rectal tumour with sigmoid volvulus [19] . Also Lapin et al [20] have reported an association of T colon volvulus with submucosal hamartoma in the transverse colon [20] , and lipoma with SV [21] in sigmoid colon.…”