Barium enema cecal volvulus

The single-contrast barium enema (A) shows a contrast column reaching the region of the cecum via the decompressed descending colon, transverse colon, and ascending colon. As it reaches the region of the cecum, it is obstructed, manifesting with beak-shaped morphology (arrow) with no contrast entering the air-filled and distended cecum (between arrowheads). In B, the site of the volvulus is again noted (arrow). These findings confirm the diagnosis of a cecal volvulus.