Cecal bascule - An unusual cause of intestinal obstruction: A case report
S Areesha Shakeel1, Junaid Zaman1, Hamza Haroon2
1Department of General Surgery, Patel Hospital, Karachi, Pakistan.
Introduction:
Cecal bascule is a rare type of cecal volvulus occurring in the elderly population with a male predominance. It is a condition where the cecum folds upward upon itself.
Importance:
There are only a handful of case reports published about cecal bascule. This is the first case being reported from Pakistan.
Case Presentation:
A 68 year old female, known hypertensive and osteoporosis presented in the ER with complaints of vomiting, abdominal distension and absolute constipation. Radiology was non-diagnostic. She was treated with cecectomy and anastomosis. Post operatively she developed ileus for which was managed. She was subsequently discharged at 8th day post op.
Clinical Discussion:
The management of cecal bascule is always surgery with predilection towards cecopexy or cecetomy to prevent recurrence. This manuscript is as per the SCARE case report checklist [1].
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