CASE 3

History: A 68-year-old woman presents with sudden onset of severe colicky abdominal pain and vomiting.

1. Which choice is the most likely diagnosis for this patient?

A. Normal variant

B. Cecal bascule

C. Cecal volvulus

D. Colonic ileus (Ogilvie’s syndrome)

2. Which of the following regarding cecal volvulus is true?

A. There is a mobile cecum due to a mobilization of the bowel at previous surgery.

B. The cecum is a rare site of volvulus, accounting for 5% of colonic volvulus cases.

C. The plain abdominal radiograph will allow a diagnosis of cecal volvulus in the majority of the cases.

D. A contrast enema can demonstrate the classic bird-beak appearance of the twisted descending colon.

3. CT is a problem-solving tool suitable to aid in the diagnosis of cecal volvulus. Which of these choices is a sign of a cecal volvulus?

A. Pneumatosis

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