Abstract
An 83-year-old male had been hospitalized since he was 79 years old with paralysis of the right side of his body secondary to a brain infarction. A paralytic ileus was diagnosed on single-row detector CT sigmoidoscopy, and X-ray examinations. Then, two days later volvulus of the cecum was diagnosed on multi-row detector CT (MDCT) ; no changes in the patient's general condition or in the abdominal findings were noted compared to two days prior. Emergency surgery was done and the preoperation diagnosis was confirmed. The second case was a 25-year-old female who lived in a facility for the handicapped. She was transferred to the hospital since a strangulated ileus was suspected. Volvulus of the cecum was diagnosed on MDCT, and an emergency operation was performed without delay. Commonly, the diagnosis of volvulus of the cecum is difficult to make because it is rare, and many complications which can obscure the diagnosis can develop prior to presentation. However, an accurate diagnosis has to be made before therapy is given to prevent a fatal outcome. Recently, the rate of diagnosing volvulus of the cecum has improved due to the use of MDCT. We report two cases and review the literature.
