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[Tranverse colon volvulus]
Gino Caselli Morgado1, Cecilia Besa Correa2, Rodrigo Miguieles Cocco3
1Unidad de Coloproctología, Departamento de Cirugía Digestiva, Pontificia Universidad Católica de Chile, Santiago, Chile. gcaselli@uc.cl
Acta Gastroenterologica Latinoamericana
|February 13, 2014
Summary
Transverse colon volvulus, a rare cause of bowel obstruction, is challenging to diagnose. Resection is the preferred treatment to prevent recurrence, unlike less effective detorsion methods.
Area of Science:
- Gastroenterology
- Abdominal Surgery
- Diagnostic Imaging
Background:
- Colonic obstruction is frequently caused by sigmoid or cecal volvulus.
- Transverse colon volvulus is a rare condition, often presenting diagnostic challenges.
Observation:
- Multidetector computed tomography (MDCT) aids in diagnosing transverse colon volvulus.
- MDCT reveals dilated proximal colon loops and a mesentery torsion at the splenic flexure.
Findings:
- Surgical resection with or without anastomosis is the definitive treatment for transverse colon volvulus.
- Detorsion techniques, with or without colopexy, have high recurrence rates compared to resection.
Implications:
- Transverse colon volvulus requires consideration in differential diagnoses for abdominal pain and obstruction.
- Early surgical intervention, particularly resection, is crucial to prevent complications like gangrene and perforation.
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