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  • Title: Cecal bascule in a child: an unusual cause of postoperative bowel obstruction.
    Author: Lazar DA, Cohen SA, Evora DK, Losasso BE, Bickler SW.
    Journal: J Pediatr Surg; 2012 Mar; 47(3):609-11. PubMed ID: 22424364.
    Abstract:
    Cecal bascule is a rare type of intestinal obstruction that occurs when a mobile cecum folds upward and obstructs the ascending colon. Most often occurring in the elderly, we present the first reported case of cecal bascule in a child. The cecal bascule occurred in a 4-year-old with trisomy 13 syndrome 5 days after a laparoscopic Nissen fundoplication. After a delay in diagnosis and cecal reduction in the operating room, the bascule recurred after 1 year, and the child was treated with a cecostomy tube for both cecopexy and cecal decompression. Cecal bascule should be considered in the differential diagnosis of children with early postoperative bowel obstruction, especially in the developmentally delayed status-post laparoscopic surgery. For the pediatric patient with cecal bascule, we recommend operative management with either cecopexy or resection.
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