Báscula cecal, una causa infrecuente de obstrucción intestinal

Abstract

Caecal bascule is a rare cause of intestinal obstruction. The suspicion should be heightened when caecal ectopic dilation is present. Computed tomography scan is the preferred imaging technique, especially for ill patients. Right colectomy and primary anastomosis is the most appropriate surgical technique. Awareness of this entity can prevent the high morbidity and mortality rates of this condition.

Caecal bascule: an unusual cause of intestinal obstruction.

“…Con respecto a sus manifestaciones clínicas son similares a las de las obstrucciones de intestino delgado, con la presencia de dolor abdominal continuo con exacerbaciones de tipo cólico, en relación con los movimientos peristálticos; existe, también, ausencia de tránsito intestinal, náuseas y vómitos 1,3,4 .…”

A Rare Pathological Couplet of Colocolic Intussusception Plus Cecal Bascule in a Young Adult: A Case Report

“…A cecal bascule, which represents about 10% of cecal volvuli, is characterized by a mispositioned cecum being folded in a cephalad (most common) or caudad direction with no torsion of its mesentery [ 4 ]. Its incidence is 2.8-7.1 per million people per year and several etiologies have been suggested, including congenital adhesions or distal colonic obstruction [ 5 - 7 ]. A cecal bascule can clinically present with such signs as cecal displacement to the upper or central abdomen, ileocecal valve displacement to the right upper quadrant, a transition zone between the cecum and ascending colon, and as reactive perihepatic free fluid [ 7 - 8 ].…”

“…Its incidence is 2.8-7.1 per million people per year and several etiologies have been suggested, including congenital adhesions or distal colonic obstruction [ 5 - 7 ]. A cecal bascule can clinically present with such signs as cecal displacement to the upper or central abdomen, ileocecal valve displacement to the right upper quadrant, a transition zone between the cecum and ascending colon, and as reactive perihepatic free fluid [ 7 - 8 ]. There is no reported case of a combination of colocolic intussusception and cecal bascule simultaneously.…”