Caecal Bascule: A Rare Complication Following Caesarean Section

Amira Salih, Junaid Rafi, Elnazeer Salim

Abstract


We present a rare case of caecal bascule in a forty year old Caucasian, multiparous lady (3 previous normal vaginal deliveries and one caesarean section) who had a grade 1 (fetal distress) uneventful caesarean section (C/S) under general anaesthesia. On the third post-operative day, she developed marked abdominal distension and pain but no vomiting. Abdominal examination showed a tender palpable tympanic mass in the right upper quadrant and epigastrium. Caecal volvulus was suspected and confirmed on radiological investigations. Emergency laparotomy was performed. Intra-operative findings showed rotation of the caecum over itself resulting in a sharp twist on the ascending colon with patches of necrosis and serosal tears of the caecum. The ascending colon and terminal ileum were normal. These findings are classical description of “Caecal Bascule”. Limited right hemi-colectomy was performed. The patient made uneventful speedy recovery.




J Med Cases. 2010;1(1):21-22
doi: https://doi.org/10.4021/jmc2010.07.110e

Keywords


Caecal bascule; Caecal volvulus

Full Text: HTML PDF
 

Browse  Journals  

     

Journal of clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

Journal of Neurology Research

International Journal of Clinical Pediatrics

 

 

 

 

 

Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.            
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.journalmc.org   editorial contact: editor@journalmc.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.