Cecal Bascule after Colonoscopy - Case Report and Review of Literature

Nihar Shah, Hiren Patel, Varun Patel, Robert Spira

Abstract


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. 


Keywords


cecal bascule, cecal volvulus, colonoscopy complications, abdominal pain

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References


Katoh T, Shigemori T, Fukaya R, Suzuki H. Cecal volvulus: report of a case and review of Japanese literature. World J Gastroenterol. 2009;15:2547-2549.

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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