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Grace S. Rozycki, MD,RDMS,FACS
From the Department of Surgery, Emory University School of Medicine, Atlanta, Ga.

Arch Surg. 2001;136:835-836.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

A 42-YEAR-OLD man had 45% third degree burns to his chest and back. Three weeks later, while being treated for sepsis, he developed intolerance to tube feedings, persistent acidosis, and massive abdominal distention. The abdominal radiograph is shown in Figure 1. Operative findings demonstrated necrotic bowel that was folded on itself anteriorly, creating a proximal obstruction.

Figure 1.

What Is the Diagnosis?

A. Intussception
B. Cecal bascule
C. Sigmoid volvulus
D. Cecal volvulus

Answer: Cecal Bascule

Figure 1. Plain abdominal radiograph demonstrating dilated loops of large bowel.

Figure 2. Schematic diagram illustrating the cecal bascule. The cecum is folded onto the ascending colon.

Figure 2.

Figure 3. Specimen of massive dilated cecum.

Figure 3.

Although the cecal bascule was first reported by Treves in 1899,¹ it was Mandel Weinstein who characterized it as a type of cecal volvulus.² The term bascule is French, meaning seesaw, which describes a type . . . [Full Text of this Article]

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ABSTRACT | FULL TEXT