PMC10080308_01
PMC10080308_02
plain abdominal radiography showing two large well-defined air-fluid levels approximately 15 cm in width superimposed on each other located at the left upper quadrant of the abdomen (arrows), with minimal gas seen at the distal bowel loops; A) erect view; B) supine view
PAMJ-44-37-g001.jpg
PMC10080308_02_PAMJ-44-37-g001.jpg
F1
EKG was normal except for tachycardia. Erect and supine abdominal radiography X-rays showed two large well-defined air-fluid levels superimposed on each other located at the LUQ of the abdomen, with minimal gas seen at the distal bowel loops, suggestive of caecal volvulus (Figure 1 (A, B)).
intraoperative photos showing; A) darkly colored cecum with previous appendectomy scar; B) gangrenous caecal volvulus; C) the excised terminal ileum, cecum, and whole ascending colon
PAMJ-44-37-g002.jpg
PMC10080308_02_PAMJ-44-37-g002.jpg
F2
All the involved bowels were ischemic and gangrenous except the hepatic flexure (Figure 2(A, B, C)).