Perforation of the cecum often occurs when cecal diameter 10 cm. Severe abdominal pain, fever, and leukocytosis are clinical manifestations of perforation. Has the cecum perforated in this patient?...

Perforation of the cecum often occurs when cecal diameter 10 cm. Severe abdominal pain, fever, and leukocytosis are clinical manifestations of perforation. Has the cecum perforated in this patient?

What is believed to be the pathophysiologic mechanism that underlies acute colonic pseudo-obstruction?