Cecal fecaloma: A rare cause of right lower quadrant pain

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Presentation transcript:

Cecal fecaloma: A rare cause of right lower quadrant pain Brian T. Wang, Stefanie Y. Lee European Journal of Radiology Open Volume 6, Pages 136-138 (January 2019) DOI: 10.1016/j.ejro.2019.03.006 Copyright © 2019 The Authors Terms and Conditions

Fig. 1 Coronal reformats of an abdominal CT scan performed with IV, oral, and rectal contrast. (A) An arrowhead demonstrates distal ileum wall thickening and an arrow demonstrates terminal ileum distention with fecalized contents. A small amount of free fluid is visible in the mesentery. (B–C) Arrows demonstrate fecalization of the distal and terminal ileum. (D–F) Arrows demonstrate a mass with a lamellated appearance and mottled gas density within the cecum. Adjacent fat stranding and free fluid within the right lower quadrant are delineated by an arrowhead. European Journal of Radiology Open 2019 6, 136-138DOI: (10.1016/j.ejro.2019.03.006) Copyright © 2019 The Authors Terms and Conditions

Fig. 2 Axial slice of an abdominal CT scan performed with IV, oral, and rectal contrast demonstrates distention and fecalization of the terminal ileum as well as mild associated mesenteric fat stranding. European Journal of Radiology Open 2019 6, 136-138DOI: (10.1016/j.ejro.2019.03.006) Copyright © 2019 The Authors Terms and Conditions

Fig. 3 Sagittal reformats of an abdominal CT scan performed with IV, oral, and rectal contrast. Rectal contrast can be seen filling the ascending colon at the arrow. Inferiorly, an arrowhead demonstrates the lamellated mass containing mottled gas density. Superiorly, an arrowhead demonstrates the distended terminal ileum with fecalized contents approaching the cecum at the level of the fecalith. European Journal of Radiology Open 2019 6, 136-138DOI: (10.1016/j.ejro.2019.03.006) Copyright © 2019 The Authors Terms and Conditions