{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:17:51Z","timestamp":1787242671245,"version":"build-2736575974"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,3,20]],"date-time":"2017-03-20T00:00:00Z","timestamp":1489968000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Caecal bascule is a rare condition characterized by the inferior pole of the caecum folding on a horizontal axis antero\u2010superiorly towards the ascending colon, potentially causing obstruction. An unusual variant of volvulus, diagnosis is challenging due to its obscurity. We present the experience of an Australian tertiary\u2010referral hospital with the diagnosis\/management of caecal bascule, and review cases reported in the literature to raise awareness of this uncommon diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Medical records of patients diagnosed with caecal bascule during 2001\u20132016 were reviewed. Data relating to their presentation, investigations, management and outcomes were obtained. A literature search was conducted through\n                      <jats:styled-content style=\"fixed-case\">PubMed<\/jats:styled-content>\n                      and Medline databases.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Caecal bascule was diagnosed in four patients (median age: 60.5 (range: 48\u201375) years, two females). Patients presented with abdominal pain (4\/4), distension (3\/4), vomiting (3\/4) and confusion (1\/4) over a 1\u2010 to 4\u2010day period. Computed tomography identified caecal displacement in three cases, and bascule was diagnosed at laparotomy in all cases. All patients underwent right hemicolectomy, with primary ileo\u2010colic anastomosis in three cases and formation of Abcarian stoma in one case. Median length of stay was 15.5\u2009days (range: 10\u201324), with no mortality. Fifteen cases of caecal bascule have been reported in the literature to date, with authors suggesting resection as definitive treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Correct diagnosis of caecal bascule requires a high index of suspicion and avoids delay of appropriate management. Recent operation, particularly laparoscopic cholecystectomy, may be contributing factors. Resection is recommended, a sentiment echoed by reported cases in the literature.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.13898","type":"journal-article","created":{"date-parts":[[2017,3,20]],"date-time":"2017-03-20T06:04:03Z","timestamp":1489989843000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Caecal bascule: a case series and literature review"],"prefix":"10.1111","volume":"88","author":[{"given":"Jin\u2010Soo","family":"Park","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery Royal Prince Alfred Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kheng\u2010Seong","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Royal Prince Alfred Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher J.","family":"Young","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Royal Prince Alfred Hospital  Sydney New South Wales Australia"},{"name":"Discipline of Surgery The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,3,20]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-6158-4"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02052323"},{"key":"e_1_2_6_4_1","first-page":"242","article-title":"Caecal bascule\u2010\u2010a potential clinical and radiological pitfall. Case reports","volume":"54","author":"Rabin MS","year":"1978","journal-title":"S. Afr. Med. 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Surg. Case Rep."},{"key":"e_1_2_6_15_1","first-page":"143","article-title":"Cecal bascule after colonoscopy \u2013 case report and review of literature","volume":"8","author":"Shah N","year":"2015","journal-title":"North Am. J. Med. 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