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Surgical Anatomy of the Abdomen: 52

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Less commonly, the cecum may be mobile enough to volvulize. The axis of the volvulus may be opposite that of the sigmoid on plane film of the abdomen. Emergency treatment options include cecopexy if the cecum is viable, or resection. 

Related topic: Cecal Bascule   

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Surgical Anatomy of the Abdomen: 53

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A mobile cecum may also fold up on itself (cecal bascule) and kink off its blood supply. Cecal bascule is hard to differentiate from volvulus pre-opertively, but the management algorithm is the same. 

Related topic: Cecal Bascule    

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Surgical Anatomy of the Abdomen: 54

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An example of a sigmoid colon operated on electively for repeated episodes of volvulus is shown. 

Related topic: Sigmoid Volvulus    

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This page was last modified on 9/25/2005.