The Cecal Bascule

Bobroff, Lewis M.; Messinger, Neil H.; Subbarao, Kakarla; Beneventano, Thomas C.

doi:10.2214/ajr.115.2.249

Cited by 36 publications

(24 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1). A "flap valve" occlusion results and, in the presence of a functional ileocecal valve, establishes a closed loop obstruction [2]. Signs and symptoms associated with a cecal bascule are similar to those of cecal volvulus; however, patients may not present critically ill because the mesenteric vasculature does not undergo torsion and is often uncompromised.…”

mentioning

confidence: 99%

Cecal bascule in a child: an unusual cause of postoperative bowel obstruction

Lazar

Cohen

Evora

et al. 2012

Journal of Pediatric Surgery

View full text Add to dashboard Cite

mentioning

confidence: 99%

Cecal bascule in a child: an unusual cause of postoperative bowel obstruction

Lazar

Cohen

Evora

et al. 2012

Journal of Pediatric Surgery

View full text Add to dashboard Cite

“…This is a rare form of caecal obstruction caused by folding of the caecum anterior to the ascending colon, resulting in a 'flap valve' that occludes caecal emptying without true twisting; caecal bascule is responsible for 10% of all cases of caecal obstruction. (7,8) Patients with caecal bascule tend to have a better prognosis and lower incidence of vascular compromise of the bowel. An abnormal positional relationship between the superior mesenteric vein and artery, indicative of intestinal malrotation, is also identifiable on CT. (9) Contrary to normal anatomy, the vein is located to the left of the artery.…”

Section: Discussionmentioning

confidence: 99%

“…3) and an abnormal relationship between the superior mesenteric artery and vein. (8,13) Twisting of the small bowel about its mesentery also predisposes an individual to ischaemia of the bowel (Fig. 3).…”

Section: Discussionmentioning

confidence: 99%

Clinics in diagnostic imaging (171)

Ooi

Tan

Ngu

2016

smedj

View full text Add to dashboard Cite

A 46-year-old Chinese woman presented to the emergency department with nausea and abdominal bloating, accompanied by vomiting that had increasingly worsened over the past four days. Apart from previous laparoscopic cholecystectomy and open appendicectomy, she had no other medical comorbidities. Physical examination revealed abdominal distension with central tenderness and active bowel sounds. There was no rebound tenderness or abdominal guarding. She was afebrile and her haemodynamic parameters were stable. Initial blood investigations revealed an elevated total white blood cell count Plain radiography of the abdomen (Fig. 1a) was performed at the emergency department. What do the radiographs show? Based on the patient's clinical presentation and radiographic findings, computed tomography (CT) of the abdomen and pelvis (Figs. 1b & c)

show abstract

“…The advantage of multiple enemas may lie in a number of factors. Signs of colonic obstruction may be evident following 180 ~ torsion of the right colon [8,18]; however, twisting can occur to a far greater degree. We suggest that the initial contrast enema may succeed in partially reducing the colon and decompressing the proximal segment; successive enemas are necessary to achieve complete detorsion.…”

Section: Discussionmentioning

confidence: 99%