Radiological Case of the Month

Abstract

4-YEAR-OLD girl with no noteworthy medical history presented to the emergency department complaining of right arm pain after falling off a swing. A nondisplaced transverse fracture of the proximal right humerus was discovered on initial radiographs. On subsequent physical examination, a large abdominal mass

Caecal Bascule: A Rare Cause of Intestinal Obstruction

“…It is a torsion in the transverse plane, and causes cecal distension [8]. The other form of cecal volvulus, axial torsion, is a classic volvulus in which rotation occurs in the longitudinal plane [9].…”

“…The other form of cecal volvulus, axial torsion, is a classic volvulus in which rotation occurs in the longitudinal plane [9]. Clinically, the two forms have similar presentations and treatments, so distinction generally is not made [8,9]. Radiographically, however, bascule can be differentiated from axial torsion [8,9].…”

“…Clinically, the two forms have similar presentations and treatments, so distinction generally is not made [8,9]. Radiographically, however, bascule can be differentiated from axial torsion [8,9]. In classic axial torsion, the cecum turns upward and usually lies in an ectopic location, often the left upper quadrant, giving the classic "kidney-bean" appearance.…”