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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
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Large Intestine01:09

Large Intestine

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The large intestine is divided into three main regions: the cecum, colon, and rectum. Extending from the ileocecal valve to the anus, it frames the small intestine on three sides.
The ileocecal sphincter, a mucous membrane fold, guards the opening from the ileum to the large intestine. This valve permits material from the small intestine to pass into the large intestine. Attached to the ileocecal valve is the cecum. This small pouch, approximately 6 cm long, has a twisted, coiled tube known as...
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Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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Inflammatory Bowel Disease V: Surgical Management01:21

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation01:30

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation

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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
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Esophageal Varices-I: Introduction01:24

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Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
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Updated: Jun 24, 2025

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
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Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

349

Cecal bascule presenting as internal hernia.

Jane Tian1, Hannah English2, Shubham Bhatia1

  • 1Department of Surgery, Flushing Hospital Medical Center, 4500 Parsons Blvd, Flushing, NY 11355, United States.

Journal of Surgical Case Reports
|June 3, 2024
PubMed
Summary
This summary is machine-generated.

Cecal bascule, a rare cause of bowel obstruction, can mimic internal hernias. Prompt surgical intervention is key for managing this condition, even without typical predisposing factors.

Keywords:
cecal basculececal volvulusinternal hernialarge bowel obstructionvirgin abdomen

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Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Background:

  • Cecal bascule, a rare form of cecal volvulus, poses diagnostic and therapeutic challenges.
  • It necessitates prompt recognition and management to prevent complications.

Observation:

  • A 68-year-old male without prior surgery presented with symptoms of internal hernia.
  • Computed tomography revealed characteristic signs of cecal bascule, including mesenteric swirling and cecal displacement.

Findings:

  • Laparoscopic surgery confirmed an internal hernia secondary to cecal bascule.
  • Resection of a necrotic adhesive band and cecopexy were performed successfully.

Implications:

  • This case highlights cecal bascule's presentation without common predisposing factors, emphasizing the need for high clinical suspicion.
  • Tailored surgical approaches, including resection and cecopexy, are crucial.
  • Increased provider awareness is vital for timely diagnosis and effective management of this rare condition.