Cecal Bascule With Concurrent Acute Appendicitis

Ben E. Eggleston, MD; Rizwana Afzal, MD


Appl Radiol. 2011;40(11):28-30. 

In This Article

Case Summary

A 52-year-old woman presented with severe, sharp epigastric pain. Vomiting ensued with generalized, unrelenting abdominal pain. An abdominal radiograph was read as revealing no focal obstruction (Figure 1). Given the progression of symptoms, a contrast-enhanced computed tomography (CT) scan of the abdomen and pelvis was performed. On the CT, the cecum was found in the epigastric region, along withan inflamed appendix.

Figure 1.

A supine abdominal radiograph with distended bowel loops in the right flank and epigastric region.