A multipara patient was brought to the emergency with signs and symptoms of small bowel obstruction. After resuscitation, X-ray was performed and the findings are given below. What is the most probable diagnosis?
X-ray: kidney- Bean sign | Cecal volvulus Cecal volvulus: Misnomer Ileoceco-colic volvulus Small bowel obstruction S/S Predisposing factors: Multiparity Ligament dividing Sx - for mobile cecum Malrotation Distal obstructing lesion X-ray findings Kidney bean sign Comma shaped cecum Mx: Ileocolectomy + Ileotransverse anastomoses
Adhesive small bowel obstruction
Crohn's disease
Obstructed hernia
Cecal volvulus
Large intestine