Caecal Bascule: A Rare Complication Following Caesarean Section
Bibliographic record
Abstract
We present a rare case of caecal bascule in a forty year old Caucasian, multiparous lady (3 previous normal vaginal deliveries and one caesarean section) who had a grade 1 (fetal distress) uneventful caesarean section (C/S) under general anaesthesia. On the third post-operative day, she developed marked abdominal distension and pain but no vomiting. Abdominal examination showed a tender palpable tympanic mass in the right upper quadrant and epigastrium. Caecal volvulus was suspected and confirmed on radiological investigations. Emergency laparotomy was performed. Intra-operative findings showed rotation of the caecum over itself resulting in a sharp twist on the ascending colon with patches of necrosis and serosal tears of the caecum. The ascending colon and terminal ileum were normal. These findings are classical description of “Caecal Bascule”. Limited right hemi-colectomy was performed. The patient made uneventful speedy recovery. doi:10.4021/jmc2010.07.110e
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".