Splenic flexure volvulus: a rare case report

Area of Science:

• Gastroenterology
• Abdominal Surgery

Background:

• Colonic volvulus, a twisting of the colon on its mesentery, most frequently affects the sigmoid and cecum.
• Splenic flexure volvulus is an exceptionally rare presentation of large bowel obstruction.

Observation:

• A 56-year-old male presented with acute abdominal pain and distention.
• The patient had a history of chronic constipation but no prior abdominal surgeries.
• Computed tomography (CT) imaging revealed colonic volvulus of the splenic flexure.

Findings:

• Diagnosis was confirmed through CT imaging and subsequent decompressive limited colonoscopy.
• The patient underwent a partial colectomy, a common surgical intervention for colonic volvulus.

Implications:

• This case underscores the importance of considering rare diagnoses like splenic flexure volvulus in patients with severe constipation and abdominal distention.
• Early diagnosis and appropriate surgical management, such as partial colectomy, are crucial for favorable patient outcomes.