title: Cecal bascule after spinal cord injury: A case series report.
abstract: BACKGROUND
  Cecal bascule is a rare cause of intestinal obstruction associated with upward and anterior folding of the ascending colon. We report three patients who presented with spinal cord injury complicated with a cecal bascule. Diagnosis and management of cecal bascule is discussed.
  
  
  METHODS
  Patient 1: 59-year-old male sustained a traumatic brain injury and cervical spinal cord injury after a motorcycle crash. He had abdominal distension and the diagnosis of cecal bascule was made. Cecopexy was performed. Patient 2: 51-year-old male sustained an unstable C7 vertebral fracture with a cord contusion and quadriplegia after a diving incident. After an unsuccessful medical management of the colonic distension, the patient was taken for a laparotomy and cecal bascule was found. A cecostomy and a cecopexy were performed. Patient 3: 63-year-old male was transferred after a fall. He had diffuse degenerative changes in the thoracic and lumbar spine. He was found to have a perforated cecal bascule. He had a right hemicolectomy with an ileocolic anastomosis.
  
  
  CONCLUSIONS
  We suggest the possibility of spinal cord injury being a risk factor for cecal bascule. Currently, right hemicolectomy is recommended for the treatment of cecal bascule. Cecopexy is also acceptable treatment option for a case in which the patient will be undergoing an operation with an insertion of hardware.
  
  
  CONCLUSIONS
  The diagnosis of cecal bascule should be considered for trauma patients with cecal distention without delay in order to prevent disastrous complications.
authors.affiliation: Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine, Department of Surgery, 4800 Alberta Ave., El Paso, TX 79905, United States. Electronic address: yuichi.ishida@ttuhsc.edu.
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Ishida
authors.affiliation: Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine, Department of Surgery, 4800 Alberta Ave., El Paso, TX 79905, United States.
authors.forename: Susan F
authors.initials: SF
authors.lastname: McLean
authors.affiliation: Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine, Department of Surgery, 4800 Alberta Ave., El Paso, TX 79905, United States.
authors.forename: Alan H
authors.initials: AH
authors.lastname: Tyroch
keywords: Case report; Cecal bascule; Spinal cord injury; Trauma; Volvulus