Caecal Bascule: A Rare Complication Following Caesarean Section

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