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Cecal Volvulus.

Kelly Di Dier1, Adelard De Backer1, Filip Vanhoenacker2

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Journal of the Belgian Society of Radiology
|July 21, 2022
PubMed
Summary
This summary is machine-generated.

The coffee bean sign, whirl sign, and bird's beak sign are key computed tomography (CT) findings for diagnosing cecal volvulus, a twisting of the large intestine. Recognizing these signs on abdominal CT is crucial for prompt diagnosis and treatment.

Keywords:
abdominal computed tomographybird’s beak signcecal volvuluscoffee bean signwhirl sign

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Area of Science:

  • Radiology
  • Gastroenterology
  • Surgical Pathology

Background:

  • Cecal volvulus is a rare but serious condition causing bowel obstruction.
  • Accurate and timely diagnosis is essential for preventing complications such as ischemia and perforation.

Observation:

  • Abdominal computed tomography (CT) is a primary imaging modality for evaluating acute abdominal pain.
  • Specific CT findings can indicate the presence and cause of bowel obstruction.

Findings:

  • The "coffee bean sign" represents the distended cecum and ascending colon.
  • The "whirl sign" indicates twisting of the mesentery and bowel.
  • The "bird's beak sign" points to the tapered, obstructed point of the twisted bowel.

Implications:

  • These characteristic signs on abdominal CT aid in the diagnosis of cecal volvulus.
  • Early identification facilitates timely surgical intervention, improving patient outcomes.
  • Understanding these radiological signs is vital for emergency department physicians and radiologists.