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Splenic Flexure Volvulus Managed With Left Hemicolectomy and Primary Anastomosis: A Case Report
Blanche Lee1, Bianca Kwan1, Nikhil Narsey1
1General Surgery, Toowoomba Hospital, QLD, AUS.
Cureus
|March 10, 2025
Summary
Splenic flexure volvulus, a rare cause of bowel obstruction, occurred in a young male due to congenital anatomical variations. Surgical intervention, a left hemicolectomy, was necessary for treatment.
Area of Science:
- Gastroenterology and Surgical Innovation
Background:
- Splenic flexure volvulus is an uncommon cause of large bowel obstruction.
- This condition often presents with acute abdominal pain and requires prompt diagnosis.
Observation:
- A case study of a male in his mid-20s with a three-day history of colicky left-sided abdominal pain.
- Computed tomography revealed a closed-loop obstruction in the left upper quadrant, suggestive of transverse colon origin.
Findings:
- Laparoscopy identified a splenic flexure volvulus with a 720-degree mesenteric rotation.
- The colon was viable, but a congenital absence of splenic flexure ligamentous attachments contributed to its mobility.
- Laparoscopic detorsion was not feasible; conversion to laparotomy was required.
Implications:
- Left hemicolectomy with primary anastomosis effectively treated the condition.
- This case highlights the importance of considering rare causes of bowel obstruction in young adults.
- Congenital anatomical anomalies can predispose individuals to volvulus, necessitating tailored surgical approaches.
