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Description

Three types of cecal volvulus have been described.


 

Type

Term

Rotation

Location of Cecum

Additional Information

I

axial

clockwise twisting of the cecum along the long axis

right lower quadrant (RLQ)

 

II

loop

twisting of cecum and portion of terminal ileum

ectopic to RLQ, often LUQ,

appears inverted; twisting may be counter-clockwise

III

bascule

anterior upward folding (cephalad)

near to hepatic flexure

absence of axial twisting

 

where:

• Bascule = French for seesaw.


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