Caecal bascule, an unusual cause of intestinal obstruction

An Unlikely Cause of Abdominal Pain

“…Cecal bascule, caused by the cecum folding anterior to the ascending colon, leads to intestinal obstruction. 6 This anterior folding causes inflammatory adhesions to form between the original anterior wall and the ascending colon. 4 This in turn leads to a flap valve occlusion that prevents cecal emptying.…”

“…Cecal volvulus most commonly occurs in young women during the postpartum period when the cecum is displaced upward by the uterus, or in elderly hospitalized patients secondary to reduced intestinal mobility. 6 Chronic constipation, high fiber consumption, and prolonged immobilization are thought to be risk factors for this condition. 7 , 8 The presence of adhesions, most commonly from previous abdominal surgery, can also contribute to the formation of points of fixation that can act as rotation axes.…”

“… 7 , 8 The presence of adhesions, most commonly from previous abdominal surgery, can also contribute to the formation of points of fixation that can act as rotation axes. 6 …”

“…Clinical manifestations include nausea, vomiting and continuous abdominal pain with exacerbation of pain during peristaltic movement. 6 Unfortunately, there is no discussion in the literature concerning how long these exacerbations last or whether patients are ever completely symptom-free. On exam, these patients will have a distended tympanic abdomen.…”

A systematic review of the management and outcomes of cecal and appendiceal volvulus in children

“…Contrast enemas and computed tomography were specific, but both demanded time. The former offered risk of perforation and the latter was not available all the time in all centres . Ultrasound may have shown twisted ileocecal vessels, but it was operator dependent .…”