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Two conditions must be present for the development of a cecal volvulus: an abnormally mobile segment of cecum and colon and a fixed point around which the mobile segment can twist. The second condition is created through normal ileocolic attachments, as well as through abnormal adhesions following surgery or appendicitis.
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emedicine.medscape.com/article/197322-overview
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Recognition of the CT signs of cecal volvulus is critical because the findings at clinical examination are often vague and because CT is usually the imaging technique of choice for patients presenting with acute abdominal pain [3]. Furthermore, diagnosis may be difficult: The images on the patient's abdominal...
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www.ajronline.org/cgi/content/full/177/1/95
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www.ajronline.org/cgi/content/full/177/1/95/FIG8
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In the colon, volvulus most often involves the cecum and sigmoid segment. Sigmoid volvulus is more common than cecal volvulus. ... Cecal volvulus is the twisting of the cecum and ascending segment of the colon. Normally, the cecum and ascending colon are fixed to the internal abdominal wall. If not, they can move and...
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digestive.niddk.nih.gov/ddiseases/pubs/anatomiccolon/
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Discussion: Cecal volvulus is a condition characterized by twisting or folding of the right colon so that the cecum is located in the mid abdomen or left upper quadrant. This condition accounts for about 1 to 2% of all intestinal obstruction and about one third of all cases of colonic volvulus.
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www.uhrad.com/ctarc/ct029.htm
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Cecal volvulus KUB ... The diagnosis and treatment of cecal volvulus will be reviewed here. Sigmoid volvulus is discussed separately. (See "Sigmoid volvulus".) ... John, H, Gyr, T, Giudici, G, et al. Cecal volvulus in pregnancy. Case report and review of literature. Arch Gynecol Obstet 1996; 258:161.
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www.uptodate.com/patients/content/topic.do?topicKey=~v3...
www.uptodate.com/patients/content/topic.do?topicKey=~v3HPNoudnBCB1t
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Fifty patients operated upon for cecal volvulus were analyzed. The ages ranged from 14 to 88 years and averaged 53 years. Eighteen were males and 32 were ...
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www.ncbi.nlm.nih.gov/pmc/articles/PMC1397217/
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Cecal volvulus can only occur in a small percentage of the population (11-25%) who have a developmental failure of peritoneal fixation, allowing the proximal colon to be free and mobile [1]. The second requirement is restriction of the bowel by a fixed point within the abdomen, which serves as a fulcrum for rotation such...
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www.ctisus.com/organsys/colon/syllabus/Cecal_volvulus.h...
www.ctisus.com/organsys/colon/syllabus/Cecal_volvulus.html
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Cecal volvulus is a rare, but potentially fatal, cause of intestinal obstruction. ... Cecal volvulus is a rare, but potentially fatal, cause of intestinal obstruction. As computed tomographic (CT) scanning is often the initial diagnostic test in patients with acute abdominal pain, we reiterate the importance of the "whirl...
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www.medscape.com/medline/abstract/8508096
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