Oct 5, 2013
cecal voluvlus, AXR
Classic test question is a young marathon runner with prior abdominal surgeries who presents with acute abdominal pain. Abdominal imaging shows several distended loops of small bowel and coffee bean shaped hypodensity. Contrast this with the sigmoid volvulus, classically occurring in elderly individuals with chronic constipation and abdominal distension. The treatment for both is NGT decompression and surgery.