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Synchronous Volvulus of the Transverse Colon and Cecum Associated with Scleroderma and Lupus
Nicholas T Manasewitsch1, Michael T Lee1, Anthony N Khuu2
1University of Nevada, Reno School of Medicine, 1664 N. Virginia Street, Reno, NV 89557, USA.
Radiology Case Reports
|December 10, 2020
Summary
This case report details a rare instance of simultaneous transverse colon and cecal volvulus in a patient with scleroderma and systemic lupus erythematosus (SLE) overlap syndrome. It highlights a unique presentation of synchronous double volvulus in this patient population.
Area of Science:
- Gastroenterology
- Radiology
- Rheumatology
Background:
- Intestinal volvulus is a rare complication in patients with connective tissue diseases like scleroderma and systemic lupus erythematosus (SLE).
- Transverse colon volvulus is an uncommon presentation of colonic volvulus.
Observation:
- A 26-year-old patient with a history of scleroderma-SLE overlap syndrome presented with acute abdominal symptoms.
- Computed tomography (CT) imaging identified both a transverse colon volvulus and a cecal bascule (cecal volvulus).
Findings:
- This represents the first reported case of synchronous double volvulus involving the transverse colon and cecum.
- It is the second reported instance of transverse colon volvulus in a scleroderma patient and the first in a patient with scleroderma-SLE overlap syndrome.
Implications:
- This case expands the understanding of rare gastrointestinal complications in patients with autoimmune diseases.
- It underscores the importance of advanced imaging in diagnosing complex volvulus presentations, particularly in patients with underlying connective tissue disorders.
- The findings suggest a potential association between scleroderma-SLE overlap syndrome and complex intestinal volvulus.
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