What causes cecal bascule?
It is caused by the axial rotation of cecum, distal ileum and proximal colon, usually presenting in individuals who do not have normal cecal fixation [3]. A rare type of cecal volvulus is the cecal bascule in which the cecum may fold upward and anteriorly upon itself without an axial twist [[3], [4], [5]].
How is cecal bascule treated?
With cecal volvulus, the torsion is usually in a clockwise direction. Vascular compromise is more common in cecal volvulus compared to sigmoid volvulus. The plain x-rays are usually adequate for diagnosis. The options for treatment include endoscopic decompression, cecopexy or a right hemicolectomy.
Is cecal volvulus a bowel obstruction?
Cecal volvulus is a rare cause of intestinal obstruction thatoccurs 1–1.5% of all intestinal obstructions [1]. Although it generally present as a small bowel obstruction [2], clinical symptoms, signs, and routine laboratory tests arenot spesific to the disease [3], whileCT is more diagnostic [4].
Can cecum cause pain?
Diverticulum of the cecum is a rare, benign, generally asymptomatic lesion that manifests itself only following inflammatory or hemorrhagic complications. Most patients with inflammation of a solitary diverticulum of the cecum present with abdominal pain that is indistinguishable from acute appendicitis.
How do you treat cecum pain?
Outlook. Cecal volvulus is relatively rare, according to The Eurasian Journal of Medicine . Its symptoms mimic other conditions of the GI tract, and it’s difficult to diagnose. The only way to fully treat this condition is through surgery.
What does cecal mean?
[ sē′kəl ] adj. Of, relating to, or having the characteristics of the cecum.
How do you get cecal volvulus?
Possible causes of cecal volvulus
- air travel in low cabin pressure.
- colon muscle weakness (atonia)
- enlargement of the colon.
- Hirschsprung’s disease (where the large intestine becomes inflamed and leads to constipation and obstruction)
- infections.
- overexertion.
- pelvic tumors.
- pregnancy (especially in the third trimester)
How is cecal volvulus treated?
The procedure for treating cecal volvulus is called a cecopexy. Your surgeon will move the cecum back to its proper position in the abdominal wall. Intestinal resection surgery. If the cecum is severely damaged from being twisted, your doctor may recommend intestinal resection surgery.
What can go wrong with the cecum?
An uncommon condition, a cecal volvulus occurs when your cecum and ascending colon twist, causing an obstruction that blocks the passage of stool through your bowels. This torsion can lead to abdominal pain, swelling, cramps, nausea, and vomiting.
Can the cecum be removed?
During an ileocecal resection, the end of the small intestine and the start of the colon, called the cecum, are removed. Your appendix may also be removed during this surgery as it is attached to the cecum. The healthy end of the small intestine is then reattached to the colon.
Can volvulus happen again?
Hence, what gastrointestinal surgeons should know is that the intestinal rotation anomaly can suddenly affect adult patients and lead to fatal volvulus, and volvulus recurrence may occur even several years after surgery.
What are the side effects of having your cecum removed?
Bleeding. Blood clots in the legs (deep vein thrombosis) and the lungs (pulmonary embolism) Infection. Injury to organs near your colon, such as the bladder and small intestines.
Can u live without cecum?
People can live without a colon, but may need to wear a bag outside their body to collect stool. However, a surgical procedure can be performed to create a pouch in the small intestine that takes the place of the colon, and in this case, wearing a bag is not necessary, according to the Mayo Clinic.
What is a cecal bascule and what causes it?
A cecal bascule may occur in the setting of a large and mobile cecum and can result in closed obstruction involving the cecal pole and appendix. Clinical presentation and treatment are not significantly different from the more common axial cecal volvulus.
When is Cecal bascule indicated in the treatment of large bowel obstruction?
In patients with recurrent or persistent abdominal pain and distension, cecal bascule should be considered. The majority of these patients require surgical management. Keywords: Cecal bascule; Cecal volvulus; Large bowel obstruction.
What is the difference between volvulus and cecal bascule?
Cecal bascule is an uncommon type of cecal volvulus in which the cecum folds up over itself in an anteromedial orientation. In contrast to the more common forms of volvulus, there is no axial “twisting” component 4 .
Can a cecopexy be performed without bowel resection?
On exploratory laparotomy, a cecal bascule was found herniating into lesser sac via foramen of winslow. Upon reduction, the cecum appeared viable therefore a cecopexy was performed without bowel resection.