Is Loop Ileostomy in Patients with Cecal Bascule a Viable Option?
Background. Cecal bascule, initially described in 1899 by Treves, is the rarest form of cecal volvulus and represents a phenomenon when a redundant and distended cecum folds anteriorly over the ascending colon causing an intestinal obstruction. Patients with cerebral palsy are at increased risk for...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2019/8549692 |
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| author | Tushar Shetty Tommy Ivanics Hassan Nasser Amalia Stefanou |
| author_facet | Tushar Shetty Tommy Ivanics Hassan Nasser Amalia Stefanou |
| author_sort | Tushar Shetty |
| collection | DOAJ |
| description | Background. Cecal bascule, initially described in 1899 by Treves, is the rarest form of cecal volvulus and represents a phenomenon when a redundant and distended cecum folds anteriorly over the ascending colon causing an intestinal obstruction. Patients with cerebral palsy are at increased risk for this condition. Case Presentation. We present a 28-year-old male with cerebral palsy, functionally dependent in all activities of daily living, who had undergone a loop ileostomy for cecal bascule. He then presented to our emergency department with a large loop ileostomy prolapse, which was the result of an inverted prolapsed cecum through the efferent ileostomy limb. He underwent a right hemicolectomy with end ileostomy and transverse mucous fistula creation through the previous ostomy site. He progressed well appropriately postoperatively and was discharged home. Conclusions. While cecal bascule is a rare form of bowel obstruction, patients with cerebral palsy are at an increased risk for this condition. The treatment options are numerous and are primarily surgical. Diverting loop ileostomy alone is not a recommended treatment. A high index of suspicion is warranted in all cases of large bowel obstruction to minimize risk of recurrence, morbidity, and mortality for patients afflicted by this condition. |
| format | Article |
| id | doaj-art-61b25eb497dd43cabd5826ca3ece3689 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-61b25eb497dd43cabd5826ca3ece36892025-02-03T01:13:03ZengWileyCase Reports in Surgery2090-69002090-69192019-01-01201910.1155/2019/85496928549692Is Loop Ileostomy in Patients with Cecal Bascule a Viable Option?Tushar Shetty0Tommy Ivanics1Hassan Nasser2Amalia Stefanou3Wayne State University School of Medicine, Detroit, MI, USADepartment of Surgery, Henry Ford Hospital, Detroit MI, USADepartment of Surgery, Henry Ford Hospital, Detroit MI, USADivision of Colon and Rectal Surgery, Department of Surgery, Henry Ford Hospital, Detroit, MI, USABackground. Cecal bascule, initially described in 1899 by Treves, is the rarest form of cecal volvulus and represents a phenomenon when a redundant and distended cecum folds anteriorly over the ascending colon causing an intestinal obstruction. Patients with cerebral palsy are at increased risk for this condition. Case Presentation. We present a 28-year-old male with cerebral palsy, functionally dependent in all activities of daily living, who had undergone a loop ileostomy for cecal bascule. He then presented to our emergency department with a large loop ileostomy prolapse, which was the result of an inverted prolapsed cecum through the efferent ileostomy limb. He underwent a right hemicolectomy with end ileostomy and transverse mucous fistula creation through the previous ostomy site. He progressed well appropriately postoperatively and was discharged home. Conclusions. While cecal bascule is a rare form of bowel obstruction, patients with cerebral palsy are at an increased risk for this condition. The treatment options are numerous and are primarily surgical. Diverting loop ileostomy alone is not a recommended treatment. A high index of suspicion is warranted in all cases of large bowel obstruction to minimize risk of recurrence, morbidity, and mortality for patients afflicted by this condition.http://dx.doi.org/10.1155/2019/8549692 |
| spellingShingle | Tushar Shetty Tommy Ivanics Hassan Nasser Amalia Stefanou Is Loop Ileostomy in Patients with Cecal Bascule a Viable Option? Case Reports in Surgery |
| title | Is Loop Ileostomy in Patients with Cecal Bascule a Viable Option? |
| title_full | Is Loop Ileostomy in Patients with Cecal Bascule a Viable Option? |
| title_fullStr | Is Loop Ileostomy in Patients with Cecal Bascule a Viable Option? |
| title_full_unstemmed | Is Loop Ileostomy in Patients with Cecal Bascule a Viable Option? |
| title_short | Is Loop Ileostomy in Patients with Cecal Bascule a Viable Option? |
| title_sort | is loop ileostomy in patients with cecal bascule a viable option |
| url | http://dx.doi.org/10.1155/2019/8549692 |
| work_keys_str_mv | AT tusharshetty isloopileostomyinpatientswithcecalbasculeaviableoption AT tommyivanics isloopileostomyinpatientswithcecalbasculeaviableoption AT hassannasser isloopileostomyinpatientswithcecalbasculeaviableoption AT amaliastefanou isloopileostomyinpatientswithcecalbasculeaviableoption |