Case Report
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World J Clin Cases. Dec 16, 2014; 2(12): 903-906
Published online Dec 16, 2014. doi: 10.12998/wjcc.v2.i12.903
Cecal bascule herniation into the lesser sac
Tafadzwa Makarawo, Francisco Igor Macedo, Michael J Jacobs
Tafadzwa Makarawo, Francisco Igor Macedo, Michael J Jacobs, Department of Surgery, Providence Hospital and Medical Centers, Southfield, MI 48075, United States
Author contributions: Jacobs MJ designed and reviewed the study; Makarawo T and Macedo FI collected the data, and wrote the paper.
Correspondence to: Francisco Igor Macedo, MD, Department of Surgery, Providence Hospital and Medical Centers, 16001 W Nine Mile Road, Southfield, MI 48075, United States. igormacedo1@hotmail.com
Telephone: +1-248-8497638 Fax: +1-248-8495380
Received: July 10, 2014
Revised: August 17, 2014
Accepted: September 29, 2014
Published online: December 16, 2014
Core Tip

Core tip: Cecal bascule is a rare and overlooked cause of large bowel obstruction in which a mobile cecum folds anteriorly and superiorly leading to obstruction of ascending colon. Although cecal bascule has been described in association with mechanical bowel obstruction in the literature, its association with this type of internal hernia has never been described before. The management of internal herniation of a cecal bascule is always surgical even in the absence of peritonitis, either cecopexy or right hemicolectomy depending on the viability of the bowel segment involved.