Large bowel obstruction as a consequence of transverse colon volvulus: A case report.

International Journal of Surgery Case Reports
Mohammad A Al-DoudIntithar E Al-Rahamneh

Abstract

Transverse colon volvulus incidence is comparatively rare when compared to cecal and sigmoid volvulus. Its diagnosis is still challenging for the surgeon. Delay in the diagnosis of this condition carries high morbidity and mortality rates. To report a rare case of transverse colon volvulus in a young adult male that presented as large bowel obstruction and was operated upon in the General Surgery department in the Jordanian Royal Medical Services (JRMS), Amman, Jordan. An 18-year-old male presented with severe generalized abdominal pain of 12-h-duration, associated with significant abdominal distention and constipation of one-day duration. His abdominal examination revealed a massively distended, tender abdomen; however, there were no signs of peritonitis. Abdominal radiographs showed a massively dilated large bowel. He underwent exploratory laparotomy that revealed the diagnosis of transverse colon volvulus. His condition was managed operatively with transverse colectomy with a primary anastomosis. The patient had a satisfactory postoperative recovery. Only 3-5% of all cases of intestinal obstruction are caused by colonic volvulus. Transverse colon is involved in 2-4% of them. The diagnosis of transverse colon volvulus can be ...Continue Reading

References

Aug 16, 2008·International Journal of Colorectal Disease·K A C BooijD J Gouma
Sep 24, 2008·Cases Journal·Dorothy A SparksDavid J Thomas
Oct 21, 2018·International Journal of Surgery·Riaz A AghaUNKNOWN SCARE Group

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Citations

Mar 5, 2021·Annals of Medicine and Surgery·Abdelilah ElbakouriAbdelaziz Fadil
May 24, 2021·International Journal of Surgery Case Reports·Mounir BoualiAbdelaziz Fadil

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