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The radiologic evaluation of gross cecal distension: emphasis on cecal ileus
Authors: CD Johnson, RP Rice, FM Kelvin, WL Foster, and ME WillifordAuthor Info & Affiliations
Abstract
A retrospective review of plain abdominal radiographs in 46 patients with gross cecal distension (greater than 10 cm) was performed. In 25 (54%) of 46 patients, the cecum was dilated out of proportion to the rest of the colon and was rotated anteromedially. The term cecal ileus is used to describe this situation. Five (20%) of 25 patients with cecal ileus developed perforation. Four of these patients died as a result of the perforation. The risk of perforation was related more to duration of cecal distension than to absolute cecal size. Aggressive decompressive measures, including consideration of cecostomy, appear warranted in patients with gross cecal distension, especially when it is dilated out of proportion to the rest of the colon and has persisted for several days.
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© American Roentgen Ray Society.
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First published: November 23, 2012
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CD Johnson
FM Kelvin
WL Foster
ME Williford
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