Diagnostic value of coronal CT imaging in a patient with cecal volvulus accompanied by intestinal ischemia: A case report

A 43-year-old woman presented with abdominal pain and vomiting. Contrast-enhanced abdominal computed tomography (CT) with coronal reconstruction revealed marked dilatation of the ileocecal region, a whirl sign, a bird beak sign, and decreased enhancement of the ascending colon wall. The patient was diagnosed with cecal volvulus accompanied by intestinal ischemia. Consequently, emergency surgery was performed. Intraoperative findings revealed 360° torsion of the ileum and ascending colon, with partial necrosis of the ascending colon wall. After resection of the twisted segment, functional end-to-end anastomosis was performed. The postoperative course was uneventful and the patient was discharged on postoperative day 11. Coronal CT imaging enabled the early diagnosis of cecal volvulus accompanied by intestinal ischemia and allowed prompt surgical intervention that resulted in a favorable outcome.