How is cecal bascule 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 causes cecal bascule?
During embryogenesis, abnormal fusion of right colonic mesentery to the lateral wall causes malfixation of the cecum. This predisposes the cecum to move freely especially during operative manipulation. It remains unclear whether gastric bypass surgery is an etiological factor in the development of cecal bascule.
Is cecal volvulus an emergency?
Discussion. The management of cecal volvulus requires prompt (emergency) diagnosis and prompt surgical intervention. Any delay in diagnosis may lead to intestinal necrosis or perforation and worsening the prognosis in patients who are generally elderly.
What is Caecal volvulus?
Caecal volvulus describes torsion of the caecum around its mesentery which often results in obstruction. If unrecognised, it can result in bowel perforation and faecal peritonitis.
What is cecal inflammation?
Typhlitis refers to inflammation of a part of the large intestine known as the cecum. It’s a severe condition that usually affects people with a weakened immune system. They can’t fight off infections like people with healthy immune systems.
Who gets cecal volvulus?
Cecal volvulus is usually seen in adults of both sexes and all racial backgrounds who are between the ages of 30 and 60. 2 The symptoms of cecal volvulus can be similar to other gastrointestinal conditions, such as appendicitis, irritable bowel syndrome, inflammatory bowel disease, and gastroenteritis (stomach flu).
Is cecal volvulus rare?
Cecal volvulus is a rare cause of intestinal obstruction thatoccurs 1–1.5% of all intestinal obstructions .
How can cecal volvulus be prevented?
If the cecum is seriously damaged by volvulus, the surgeon will perform intestinal resection surgery. Cecopexy and intestinal resection surgery have high rates of success and usually prevent the recurrence of cecal volvulus.
What does pain in the cecum mean?
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.
When to use Cecal bascule for abdominal pain?
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.
How is Cecal bascule defined in the literature?
Cecal bascule was defined as anterior displacement of the distended cecum on the ascending colon without any torsion. The etiopathogenesis, clinical features, diagnosis, and treatment options were analyzed. Results: Nineteen previously published papers reporting on 26 patients were included.
How is a cecal bascule different from volvulus?
In contrast to the more common forms of volvulus, there is no axial “twisting” component 4 . 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.
How long does Cecal bascule recur after surgery?
The extent of surgery varied from cecopexy to right colectomy. There was no postoperative mortality. Cecal bascule recurred one 1 year after index surgery in one patient. Conclusions: Cecal bascule is a rare clinical entity, which is mostly encountered in patients with peritoneal adhesions, mobile cecum, bowel dysfunction, and cecal displacement.