Q:

Axial twisting of the right colon or cecal volvulus has been shown to be associated with each of the following except:

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Axial twisting of the right colon or cecal volvulus has been shown to be associated with each of the following except: 


  1. A history of abdominal operation.
  2. A mobile cecum.
  3. An obstructing lesion in the transverse or left colon.
  4. Inflammatory bowel disease.

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D. Inflammatory bowel disease.

DISCUSSION: Volvulus of the right colon is less common than sigmoid volvulus and may involve either an axial twist of the right colon or a cephalad fold of the cecum (cecal bascule). A mobile cecum is a prerequisite for cecal volvulus and may occur in up to one third of individuals. Cecal volvulus has also been called postoperative volvulus because of its tendency to follow abdominal surgical procedures. Obstructing lesions in the distal colon may lead to distention and torsion of the right colon in patients with abnormalities of cecal fixation. 

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