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Updated: Sep 14, 2025

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Volvulus of the Transverse Colon: A Report of Two Cases and Review of Literature
Mohamed Ahmed1,2, Ahmed Allawi1, Sarmad Mohammed Salih3,4,5
1Surgery, AdventHealth, Tampa, USA.
Abstract:
Transverse colon volvulus is a rare cause of potentially life-threatening large bowel obstruction accounting for less than 5% of colonic volvulus cases. Its diagnosis is often delayed due to nonspecific clinical features and its rarity. We report two uncommon cases of transverse colon volvulus. The first case involves a 20-year-old female who presented with acute abdominal pain and distension. The second case is a 67-year-old female with a one-week history of progressive constipation and abdominal discomfort. Computerized tomography aids in the diagnosis and definitive management requires surgical resection. Prompt diagnosis and treatment are critical due to the risk of ischemia and perforation.
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