She also confirmed a relief from her dyspareunia and RLQ pain after the operation. Consequently all female patients who were sexually active with coitus vaginalis and who were to undergo abdominal or laparoscopic abdominal operations, where the cecocolic area could be visualized and inspected, were included in the inquiry regarding dyspareunia in association with RAP, just as were patients who by contrast enema studies had documented mobile or eccentrically located cecocolon. The patients with known redundant sigmoid, chronic constipation and irritable bowel syndrome who had pain in the left lower quadrant and those with pelvic diseases were excluded from this survey. Etiology Cecocolic torsion and cecal bascule may result from a deficiency of the mesocecocolic fixation which allows the mobile cecocolon to torse or to fold upon itself. This recurring symptomatic intestinal obstruction of a mobile cecocolon is commonly called the floppy or mobile cecum syndrome.
Cecal bascule is the terminology for a cecum that is folded upon itself.
In most instances the torsion of the ascending colon is incomplete and a recurrent partial obstruction with spontaneous resolution is the result. Cecocolic mobility is estimated to be present in about twenty five to thirty three per cent of the population5,9,10. This condition cannot occur if there is an arrested rotation and descent of the cecocolon. In this event, obstruction of the second segment of the duodenum by a Ladd s band may result5. The cecocolon may also be reflected above the iliac crest and located in a subhepatic location.