A RARE METACHRONOUS COLONIC VOLVULUS.

Area of Science:

• Gastroenterology
• Surgical Case Reports

Background:

• Colonic volvulus, a frequent cause of large bowel obstruction, typically affects the sigmoid colon.
• Transverse colon volvulus is rare, and even rarer is its occurrence post-surgery for sigmoid colon volvulus.
• Delayed diagnosis of colonic volvulus increases risks of perforation, peritonitis, and mortality.

Purpose of the Study:

• To report a rare case of metachronous transverse colon volvulus.
• To highlight diagnostic challenges and management options for this uncommon condition.

Main Methods:

• Case report of an 86-year-old male presenting with large bowel obstruction symptoms.
• Review of clinical presentation 14 months after sigmoid colectomy for sigmoid colon volvulus.

Main Results:

• The patient presented with symptoms of large bowel obstruction.
• Diagnosis of transverse colon volvulus was challenging preoperatively due to lack of specific radiographic signs.
• The condition was confirmed intra-operatively.

Conclusions:

• Metachronous transverse colon volvulus is an uncommon complication.
• Preoperative diagnosis is difficult, often requiring intra-operative confirmation.
• Single-stage bowel resection and anastomosis is a safe and effective treatment option.