The radiologic evaluation of gross cecal distension: emphasis on cecal ileus.


Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Johnson, CD; Rice, RP; Kelvin, FM; Foster, WL; Williford, ME

Published Date

  • December 1985

Published In

Volume / Issue

  • 145 / 6

Start / End Page

  • 1211 - 1217

PubMed ID

  • 3877425

Pubmed Central ID

  • 3877425

International Standard Serial Number (ISSN)

  • 0361-803X

Digital Object Identifier (DOI)

  • 10.2214/ajr.145.6.1211


  • eng

Conference Location

  • United States