Pfannenstiel wound dehiscence complicated by cecal bascule.

Abstract

A 43-year-old female with a Pfannenstiel wound dehiscence complicated by cecal bascule is reported. The etiology of both cecal bascule and dehiscence is discussed. Contributing factors in this case include increased intra-abdominal pressure from the cecal bascule, and a running catgut closure of the anterior rectus sheath. When the diagnosis of cecal bascule is made, cecostomy with cecopexy is the treatment of choice. For prevention of wound disruption, the optimal closure of a Pfannenstiel incision utilizes interrupted nonabsorbable suture material.