How to differentiate Caecal volvolus from sigmoid volvolus on x ray ?
sigmoid volvolus more common than caecal volvolus (4:1 )
sigmoid more common in males than females viceversa in females
This is because of dolichomesocolic anatomy ( Mesentry is longer than wide ) which is seen in males
hence sigmoid volvolus is more common in males
Caecal volvolus - X ray findings - 50% previous abdominal surgery
- coffe bean appearence
- 1 air fluid level
- Directed towards left upper quadrant
- 50 % Distended small bowel
Sigmoid volvolus X ray finding - Bent inner tube appearence
- directed towards rt upper quadrant
- 2 air fluid levels
- fluid levels are at different horizontal levels
sigmoid volvolus more common than caecal volvolus (4:1 )
sigmoid more common in males than females viceversa in females
This is because of dolichomesocolic anatomy ( Mesentry is longer than wide ) which is seen in males
hence sigmoid volvolus is more common in males
Caecal volvolus - X ray findings - 50% previous abdominal surgery
- coffe bean appearence
- 1 air fluid level
- Directed towards left upper quadrant
- 50 % Distended small bowel
Sigmoid volvolus X ray finding - Bent inner tube appearence
- directed towards rt upper quadrant
- 2 air fluid levels
- fluid levels are at different horizontal levels
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