Cecal Bascule after Colonoscopy - Case Report and Review of Literature
Keywords:
cecal bascule, cecal volvulus, colonoscopy complications, abdominal painAbstract
Cecal bascule is a rare disease variant of a cecal volvulus. It consists of upward and anterior folding of the ascending colon, forming a flap valve, and occluding the bowel lumen resulting in proximal cecal dilatation. Herein, we present a case of a patient who developed persistent abdominal pain few hours after a colonoscopy. CT scan of the abdomen revealed an upward and anterior folding of the cecum. Subsequently the patient was taken to the operating room for a right hemi-colectomy. This case emphasizes the importance to consider cecal bascule as a differential diagnosis in patients with persistent abdominal pain after colonoscopy, considering the ease of diagnosis with imaging studies and emergent surgical correction.
References
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Consorti ET, Liu TH. Diagnosis and treatment of caecal volvulus. Postgrad Med J. 2005;81:772-776.
Oza V, Johnson A, Pfeil S. Cecal bascule: an unusual pathology of cecal dilation. Case report and brief review. J Interv Gastroenterol. 2013;3:143-144.
Rabinovici R, Simansky DA, Kaplan O, Mavor E, Manny J. Cecal volvulus. Dis Colon Rectum. 1990;33:765-769.
Haskin PH, Teplick SK, Teplick JG, Haskin ME. Volvulus of the cecum and right colon. JAMA. 1981;245:2433-2435.
O’Mara CS, Wilson TH Jr, Stonesifer GL, Stonesifer GL, Cameron JL. Cecal volvulus: analysis of 50 patients with long-term follow-up. Ann Surg. 1979;189:724-731.
Ballantyne GH, Brandner MD, Beart RW, Ilstrup DM. Volvulus of the colon. Incidence and mortality. Ann Surg. 1985;202:83-92.
Amidon PB, Story RK. Cecal volvulus after colonoscopy. Gastrointest Endosc. 1993;39:105.
Anderson JR, Spence RA, Wilson BG, Hanna WA. Gangrenous caecal volvulus after colonoscopy. Br Med J (Clin Res Ed). 1983;286:439-440.
Viney R, Fordan SVE, Fisher WE, Ergun G. Cecal volvulus after colonoscopy. Am J Gastroenterol. 2002;97:3211-3212.
Radin DR, Halls JM. Cecal volvulus: a complication of colonoscopy. Gastrointest Radiol. 1986;11:110-111.
Treves F. Intestinal Obstruction. W Wood Company, New York. 1899:135.
Weinstein M. Volvulus of cecum and ascending colon. Ann Surg. 1938;107:248-259.
Bobroff LM, Messinger NH, Subbarao K, Beneventano TC. The cecal bascule. Am J Roentgenol Radium Ther Nucl Med. 1972;115:249-252.
Pousada L. Cecal bascule: an overlooked diagnosis in the elderly. J Am Geriatr Soc. 1992;40:65-67.
Thangasamy I, Silcock R. Caecal bascule: a rare complication following emergency caesarean section. J Surg Case Rep. 2010;2010:8.
Delabrousse E, Sarliève P, Sailley N, Aubry S, Kastler BA. Cecal volvulus: CT findings and correlation with pathophysiology. Emerg Radiol. 2007;14:411-415.
Swenson BR, Kwaan MR, Burkart NE, et al. Colonic volvulus: presentation and management in metropolitan Minnesota, United States. Dis Colon Rectum. 2012;55:444-449.
Ellis H. Intestinal Obstruction. Appleton-Century-Crofts; New York. 1982.
Hodin RA, Weiser M, Collins KA. Cecal Volvulus. UptoDate. http://www.uptodate.com. July 11, 2015.
Consorti ET, Liu TH. Diagnosis and treatment of caecal volvulus. Postgrad Med J. 2005;81:772-776.
Oza V, Johnson A, Pfeil S. Cecal bascule: an unusual pathology of cecal dilation. Case report and brief review. J Interv Gastroenterol. 2013;3:143-144.
Rabinovici R, Simansky DA, Kaplan O, Mavor E, Manny J. Cecal volvulus. Dis Colon Rectum. 1990;33:765-769.
Haskin PH, Teplick SK, Teplick JG, Haskin ME. Volvulus of the cecum and right colon. JAMA. 1981;245:2433-2435.
O’Mara CS, Wilson TH Jr, Stonesifer GL, Stonesifer GL, Cameron JL. Cecal volvulus: analysis of 50 patients with long-term follow-up. Ann Surg. 1979;189:724-731.
Ballantyne GH, Brandner MD, Beart RW, Ilstrup DM. Volvulus of the colon. Incidence and mortality. Ann Surg. 1985;202:83-92.
Amidon PB, Story RK. Cecal volvulus after colonoscopy. Gastrointest Endosc. 1993;39:105.
Anderson JR, Spence RA, Wilson BG, Hanna WA. Gangrenous caecal volvulus after colonoscopy. Br Med J (Clin Res Ed). 1983;286:439-440.
Viney R, Fordan SVE, Fisher WE, Ergun G. Cecal volvulus after colonoscopy. Am J Gastroenterol. 2002;97:3211-3212.
Radin DR, Halls JM. Cecal volvulus: a complication of colonoscopy. Gastrointest Radiol. 1986;11:110-111.
Treves F. Intestinal Obstruction. W Wood Company, New York. 1899:135.
Weinstein M. Volvulus of cecum and ascending colon. Ann Surg. 1938;107:248-259.
Bobroff LM, Messinger NH, Subbarao K, Beneventano TC. The cecal bascule. Am J Roentgenol Radium Ther Nucl Med. 1972;115:249-252.
Pousada L. Cecal bascule: an overlooked diagnosis in the elderly. J Am Geriatr Soc. 1992;40:65-67.
Thangasamy I, Silcock R. Caecal bascule: a rare complication following emergency caesarean section. J Surg Case Rep. 2010;2010:8.
Delabrousse E, Sarliève P, Sailley N, Aubry S, Kastler BA. Cecal volvulus: CT findings and correlation with pathophysiology. Emerg Radiol. 2007;14:411-415.
Swenson BR, Kwaan MR, Burkart NE, et al. Colonic volvulus: presentation and management in metropolitan Minnesota, United States. Dis Colon Rectum. 2012;55:444-449.
Ellis H. Intestinal Obstruction. Appleton-Century-Crofts; New York. 1982.
Hodin RA, Weiser M, Collins KA. Cecal Volvulus. UptoDate. http://www.uptodate.com. July 11, 2015.
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Published
2016-01-15
How to Cite
Shah, N., Patel, H., Patel, V., & Spira, R. (2016). Cecal Bascule after Colonoscopy - Case Report and Review of Literature. North American Journal of Medicine and Science, 8(3). Retrieved from https://najms.com/index.php/najms/article/view/91
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