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Related Experiment Video

Updated: Jun 12, 2026

Gastric Point of Care Ultrasound in Adults: Image Acquisition and Interpretation

Gastric Point of Care Ultrasound in Adults: Image Acquisition and Interpretation

Published on: September 22, 2023

[Cecal volvulus: imaging features].

E López Pérez¹, M J Martínez Pérez, T Ripollés González

¹Servicio de Radiodiagnóstico, Hospital Universitario Dr. Peset, Valencia, España. azulena@msn.com

|June 16, 2010

Summary

This summary is machine-generated.

Computed tomography (CT) offers a more definitive diagnosis for cecal volvulus than plain-film radiography. CT imaging correctly identified cecal volvulus in most cases, significantly outperforming traditional X-rays.

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Area of Science:

Radiology
Gastroenterology
Abdominal Imaging

Background:

Cecal volvulus is a rare but serious condition causing bowel obstruction.
Accurate and timely diagnosis is crucial for effective treatment and patient outcomes.

Purpose of the Study:

To compare the diagnostic sensitivity of plain-film radiography and computed tomography (CT) for cecal volvulus.
To evaluate specific imaging signs associated with cecal volvulus on both modalities.

Main Methods:

Retrospective review of 11 patients diagnosed with cecal volvulus.
Analysis of plain-film radiography and CT findings by two radiologists.
Classification of studies as certain, probable, or indeterminate for cecal volvulus.

Main Results:

Plain-film radiography showed high sensitivity for dilated bowel loops (91%) and distal obstruction patterns (91%).
CT achieved 100% sensitivity with signs like the 'coffee bean' sign and left colon collapse.
CT studies were classified as certain for cecal volvulus in 86% of cases, compared to 36% for plain-film radiography.

Conclusions:

CT imaging provides a more reliable diagnosis of cecal volvulus than plain-film radiography.
Specific CT signs, such as the 'coffee bean' sign, are highly indicative of cecal volvulus.
Considering additional imaging findings improves diagnostic accuracy for cecal volvulus.