The Radiology Assistant - Closed Loop in Small Bowel Obstruction
The Radiology Assistant - Closed Loop in Small Bowel Obstruction
The Radiology Assistant - Closed Loop in Small Bowel Obstruction
Cecal Volvulus
A volvulus always extends away from the area of
bowel twist.
So a sigmoid volvulus can only move upwards and
Abdomen Breast usually goes to the
Cardiovascular rightHead/Neck
Chest upper quadrant.
Musculoskeletal
Cecal volvulus however can go almost anywhere and
can even be located in the pelvis (figure).
Neuroradiology Pediatrics More
Dilated cecal volvulus (C) shifting away from the area of bowel
twist (arrow)
Sigmoid Volvulus
On the left a patient with a sigmoid volvulus.
We can see the distended sigmoid extending from the
pelvis way up into the right upper quadrant.
Look at the image and decide for yourself why this
cannot be a cecal volvulus.
Then continue.
The sigmoid
Neuroradiology Pediatrics is the commonest site of colonic volvu‐
More
lus.
It accounts for 75% of large bowel obstruction.
Sigmoid volvulus
Sigmoid volvulus
1. CT of Small-Bowel Obstruction
by Emil J. Balthazar
Department of Radiology, New York University-Tisch-Bellevue Medical Center, 550 First Ave., New York, NY 10016.
AJR 1994;162:255-261
2. CT of Cecal Volvulus, Unraveling the Image
by Carolyn J. Moore, Frank M. Corl and Elliot K. Fishman
Department of Radiology, Johns Hopkins Hospital, 601 N. Caroline St., Baltimore, MD 21287.
AJR 2001; 177:95-98
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