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Simultaneous transverse colon and sigmoid volvulus
Hossein Torabi1, Maryam Shoa Noshanagh1, Kasra Shirini2
1Department of General Surgery, Poursina Medical and Educational Center, Guilan University of Medical Sciences, Rasht, Iran.
SAGE Open Medical Case Reports
|September 1, 2023
Summary
Simultaneous sigmoid and transverse colon volvulus is a rare but life-threatening cause of bowel obstruction. Early diagnosis and surgical intervention are crucial for managing this condition.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Colonic volvulus, a common cause of bowel obstruction, typically affects the sigmoid colon.
- Transverse colon volvulus is rare due to anatomical factors.
- Simultaneous sigmoid and transverse colon volvulus is an exceptionally rare presentation.
Observation:
- A 45-year-old male presented with severe, prolonged abdominal pain and distention.
- Diagnostic laparotomy revealed simultaneous sigmoid and transverse colon volvulus.
Findings:
- The case highlights the rarity and diagnostic challenge of combined sigmoid and transverse colon volvulus.
- This condition poses significant risks including ischemia and necrosis.
Implications:
- Clinicians must consider this rare entity in differential diagnoses for abdominal pain and distention.
- Prompt surgical management is vital due to the potential for rapid deterioration.
- Further research may be needed to establish definitive management algorithms.
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