J Korean Radiol Soc.  1981 Sep;17(2):319-327. 10.3348/jkrs.1981.17.2.319.

Radiologic analysis of cecal filling defects and local wall displacement

• Kim DI
• Suh JS
• Kim GE
• Park CY

• KMID: 2463410
• DOI: http://doi.org/10.3348/jkrs.1981.17.2.319

Abstract

It has long been accepted that cecum andileocecal valve are prime important area in GI roentgenology beause ofvariety and frequency of primary and secondary disease involvement. However, precise preoperative diagnosis isstill debatable roentgenologically. It is necessory to use the more descriptive terms and systemic approach for roentgenologic diagnosis in this area. Authors analyzed pathologically verfied 54 cases of cecal lesion by doublecontrast colon examination at Yonsei University Medical College Severance Hospital from Jan. 1975 to Sep.1980. Ofthe distribution of diseases, pericecal abscess (16/54; 29.6%) was most common, and followed by intestinal tuberculosis(9/54;16.6%), and carcinoma(9/54;16.6%) etc. The ratio of male and female was 2.18:1 and peakincidence was above 4th decade. The majority of cases show right lower quadrant pain and palpable mass as clinical manifestation. Of the radiologic findings, abnormality in appendix such as nonfilling or irregular filling ofbarium suggest pericecal abscess, mucocele and less frequently adenocarcinoma of cecum, and characteristically pericecal abscess show rather smooth displacement of medial wall of cecum, but abrupt transition of lesion is shown in adenocarcinoma. Irritability and shortening of cecum, and fixation and spiculation of terminal ileum werefrequently found in inflammatory conditions such as pericecal abscess. intestinal tuberculosis and chronicnonspecific inflammation. Cecal lesion associated with invovement of ileocecal value were noted in intestinal tuberculosis, lymphoma and adenocarcinoma.

MeSH Terms

Abscess
Adenocarcinoma
Appendix
Cecum
Colon
Diagnosis
Female
Humans
Ileum
Inflammation
Lymphoma
Male
Mucocele
Tuberculosis