Malposition of Cecum and Ascending Colon: Case Report

The patient, a woman aged 45, weighing 150 pounds, came for roentgen-ray examination by direction of her family physician, for an obscure abdominal condition. The blood picture was approximately normal with the exception of a slightly high leukocyte count (10,000 odd). No pathology was discoverable by the X-ray until six hours had passed, at which time a screen examination yielded the information that the patient carried a cecum and ascending colon “upside down.” (See Fig. 1.) After ingestion of the dye the gall bladder was found to be sufficiently suspicious to justify surgery being advised. At operation, a large biliary concretion was removed, and the malposition of the cecum and ascending colon was confirmed.