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Transverse colon volvulus presenting as bowel obstruction: a case report.
Hamza Hasnaoui1,2, Faouzi Laytimi3,4, Yusuf Elfellah3,4
1Visceral Surgery Department A, CHU Hassan II, Fez, Morocco. hasnaouihamzavisc@gmail.com.
Journal of Medical Case Reports
|May 26, 2019
Summary
Transverse colon volvulus is a rare surgical emergency causing bowel obstruction. Prompt diagnosis and surgical intervention are crucial for a successful outcome, especially when the cause is unclear.
Area of Science:
- Gastroenterology
- Surgical Emergencies
- Abdominal Surgery
Background:
- Transverse colon volvulus is an uncommon cause of bowel obstruction, with fewer than 100 reported cases.
- It presents as a surgical emergency, potentially leading to bowel infarction, peritonitis, and death if not promptly diagnosed.
Observation:
- A 42-year-old man presented with a 5-day history of constipation, abdominal pain, nausea, and vomiting.
- Radiography revealed a large bowel obstruction with a "U-shaped" loop; CT was contraindicated due to renal impairment.
Findings:
- Intraoperative diagnosis of transverse colon volvulus, rotated 360° clockwise on its mesentery, with intact bowel.
- Surgical management involved an extended right hemicolectomy with ileocolic anastomosis.
Implications:
- Highlights the diagnostic challenges and controversial management of transverse colon volvulus.
- Emphasizes the importance of considering this rare condition in the differential diagnosis of acute intestinal obstruction and recurrent abdominal pain.
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