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Surgical Trunk Oriented Laparoscopic Right Hemicolectomy (ST-LRH) for Right-Sided Colon Cancer

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[Acute abdomen: transverse colonic volvulus].

Sónia Palma¹, João Leitão, Helena Lopes da Silva

¹Serviços de Imagiologia Geral e de Cirurgia, Hospital de Santa Maria, Lisboa, Portugal.

Acta Medica Portuguesa

|April 24, 2012

Summary

Transverse colon volvulus is a rare cause of large bowel obstruction, often overlooked. Prompt diagnosis and surgical intervention are crucial due to its high associated morbidity and mortality.

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Last Updated: May 23, 2026

Surgical Trunk Oriented Laparoscopic Right Hemicolectomy (ST-LRH) for Right-Sided Colon Cancer

Surgical Trunk Oriented Laparoscopic Right Hemicolectomy (ST-LRH) for Right-Sided Colon Cancer

Published on: July 25, 2025

Area of Science:

Gastroenterology
Surgical Oncology
Radiology

Background:

Transverse colon volvulus is an uncommon cause of large bowel obstruction, accounting for approximately 1% of cases.
It is frequently excluded from the differential diagnosis of bowel obstructions.
This condition carries a higher morbidity and mortality rate compared to more common forms like cecal and sigmoid volvulus.

Observation:

The authors report a clinical case of transverse colon volvulus.
Emphasis is placed on the diagnostic imaging aspects of this rare entity.
A comprehensive literature review was conducted.

Findings:

Volvulus of the transverse colon presents a diagnostic challenge due to its rarity.
Imaging modalities play a critical role in the prompt diagnosis of transverse colon volvulus.
Early recognition is essential for timely surgical management.

Implications:

Increased awareness of transverse colon volvulus is needed among clinicians to improve diagnostic rates.
Rapid diagnostic and surgical intervention can mitigate the high morbid-mortality associated with this condition.
Further research into optimal imaging and surgical strategies for transverse colon volvulus is warranted.