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Transverse colon volvulus associated with scleroderma

D C Budd, E L Nirdlinger, D L Sturtz

    American Journal of Surgery
    |March 1, 1977
    PubMed
    Summary
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    This case report details transverse colon volvulus in a scleroderma patient. Morphologic bowel changes in systemic sclerosis may contribute to colonic torsion and pseudo-obstruction.

    Area of Science:

    • Gastroenterology
    • Rheumatology
    • Pathology

    Background:

    • Scleroderma, or progressive systemic sclerosis, is an autoimmune disease characterized by fibrosis and vascular abnormalities.
    • Gastrointestinal manifestations are common in scleroderma, affecting motility and structure.
    • Pseudo-obstruction of the colon is a known complication, but volvulus is rare.

    Observation:

    • An unusual case of volvulus of the transverse colon in a patient with scleroderma is described.
    • The patient presented with symptoms suggestive of bowel obstruction.
    • Imaging and surgical findings confirmed the diagnosis of transverse colon volvulus.

    Findings:

    • Morphologic changes in the large bowel, secondary to progressive systemic sclerosis, were identified.

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  • These changes, including fibrosis and altered motility, are implicated in the development of pseudo-obstruction.
  • The pathogenesis of colonic torsion in this context is explored, linking scleroderma-induced changes to volvulus.

    • Implications:

    • This case highlights a rare but serious complication of scleroderma affecting the colon.
    • Understanding the role of scleroderma-induced morphologic changes is crucial for diagnosing and managing colonic volvulus.
    • Further research into the specific mechanisms linking systemic sclerosis to colonic torsion is warranted.