Multidetector computed tomography of cecal volvulus in a bed-ridden patient

Cecal volvulus has great diversities of clinical and laboratory presentations, which often lead to delayed treatment. Due to the drastic increase in mortality from gangrenous bowel, early identification is essential for clinician. We present a case of 32 year-old man in bed-ridden status, with severe vomiting and diffuse abdominal pain. Multiplanar reformatted multidetector computed tomography (MDCT) depicted cecal volvulus's configuration and strangulation related partial gangrenous wall, thus surgery was soon performed. Ten days later, he was discharged under stable condition. This case showed that MDCT provides a safe, fast and accurate way of early identification of cecal volvulus which may lead to better prognosis and shorter hospital stay.