Cecal bascule is a cause of large bowel obstruction where there is folding of the

cecum The cecum ( caecum, ; plural ceca or caeca, ) is a pouch within the peritoneum that is considered to be the beginning of the large intestine. It is typically located on the right side of the body (the same side of the body as the appendix (a ...

anteriorly over the ascending colon. It is one of two types of cecal volvulus, the other being axial ileocolic. It is caused by rotational torsion of the cecum or ascending colon along its own axis. In cecal bascule, the base of the cecum folds anteriorly over the ascending colon, creating a flap-valve, obstructing emptying of the cecum. The condition can be complicated by necrosis or organ perforation before the diagnosis is made, particularly if the

ileocecal valve In many Animalia, including humans, an ileocolic structure or problem is something that concerns the region of the gastrointestinal tract from the ileum to the large intestine, colon. In Animalia that have cecum, ceca, the ileocecal region is a sub ...

is competent, preventing retrograde decompression of the cecum into the

ileum The ileum () is the final section of the small intestine in most higher vertebrates, including mammals, reptiles, and birds. In fish, the divisions of the small intestine are not as clear and the terms posterior intestine or distal intestine may ...

.{{Cite journal , last1 = Pousada , first1 = L. , title = Cecal bascule: An overlooked diagnosis in the elderly , journal = Journal of the American Geriatrics Society , volume = 40 , issue = 1 , pages = 65–67 , year = 1992 , pmid = 1727851 , doi = 10.1111/j.1532-5415.1992.tb01832.x

References

Gastroenterology