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Volvulus of splenic flexure: an autopsy case
1Abant Izzet Baysal University, General Surgery Department, Bolu, Turkey.
Bratislavske Lekarske Listy
|August 18, 2012
Summary
Splenic flexure volvulus (SFV) is a rare cause of bowel obstruction. This case highlights a fatal outcome in a young male due to gangrenous SFV and peritonitis.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Volvulus involves axial twisting of the gastrointestinal tract, leading to partial or complete obstruction.
- Colonic volvulus is common, but splenic flexure volvulus (SFV) is rare, accounting for 1-2% of cases.
Observation:
- A 20-year-old male presented with severe left abdominal and lumbar pain, initially diagnosed with paralytic ileus due to nephrolithiasis.
- Despite hospitalization, the patient died within 15 hours.
Findings:
- Autopsy revealed generalized peritonitis as the cause of death.
- The peritonitis was attributed to gangrenous splenic flexure volvulus.
Implications:
- This case underscores the potential for rapid deterioration and mortality in splenic flexure volvulus, despite its rarity.
- Early recognition and surgical intervention are critical for managing this life-threatening condition.
