• David A Lazar, Seth A Cohen, Darryl K Evora, Barry E Losasso, and Stephen W Bickler.
• Department of Surgery, University of California at San Diego, San Diego, CA 92103, USA.
• J. Pediatr. Surg. 2012 Mar 1; 47 (3): 609-11.

AbstractCecal 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.Copyright © 2012 Elsevier Inc. All rights reserved.

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