{"pk":530,"title":"An Unlikely Cause of Abdominal Pain","subtitle":null,"abstract":"Cecal bascule is a rare subtype of cecal volvulus where the cecum folds anterior to the ascending colon causing intestinal obstruction. It is a challenging diagnosis to make in the emergency department, as the mobile nature of the cecum leads to a great deal of variation in its clinical presentation. Our discussion of a 78-year-old female who presented with abdominal pain and was found to have a cecal bascule requiring right hemicolectomy, demonstrates how emergency physicians must expand their differential diagnosis for patients reporting signs of intestinal obstruction. Though cecal bascule does not present often, the need for early surgical intervention necessitates a high level of clinical suspicion to prevent life-threatening complications.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7h92r1wg","frozenauthors":[{"first_name":"Norah","middle_name":"","last_name":"Kairys","name_suffix":"","institution":"Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Keegan","middle_name":"","last_name":"Skidmore","name_suffix":"","institution":"Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Jennifer","middle_name":"","last_name":"Repanshek","name_suffix":"","institution":"Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Wayne","middle_name":"","last_name":"Satz","name_suffix":"","institution":"Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"}],"date_submitted":"2018-03-14T11:37:36-07:00","date_accepted":"2018-03-14T11:37:36-07:00","date_published":"2018-03-14T12:02:13-07:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/530/galley/293/download/"}]}