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

Gangrenous transverse colon volvulus in a male patient who underwent Hartman procedure. A rare case report

INTRODUCTION AND IMPORTANCE

Transverse colon volvulus is an uncommon cause of large bowel obstruction, often presenting as a surgical emergency. This case report details a rare instance of gangrenous transverse colon volvulus in a 50-year-old male patient with a history of Hartmann's procedure performed six years prior.

CASE PRESENTATION

The patient presented with acute abdominal pain, diffuse abdominal distension, and failure to pass feces and flatus. An emergency laparotomy was performed, revealing a gangrenous segment of the transverse colon. Despite surgical intervention, the patient died due to Multi organ failure (MOF).

DISCUSSION

A patient diagnosed with transverse colon volvulus typically presents with colicky abdominal pain, vomiting, constipation or obstipation, and abdominal distension. Physical signs may include abdominal distention, a palpable mass, circulatory collapse, fever, and leukocytosis.

CONCLUSION

This case underscores the importance of early recognition and prompt surgical intervention in managing transverse colon volvulus.

Recurrent Transverse Colon Volvulus After Operative Detorsion: A Case Report

Transverse colon volvulus is a rare type of colonic volvulus. Here, we present a case of a 40-year-old male patient with a recurrent transverse colon volvulus after operative detorsion. He presented with a history of intermittent crampy abdominal pain of three days duration associated with failure to pass both feces and flatus. He has a history of abdominal distention and vomiting. The patient has a history of repeated abdominal surgeries. His last surgery was two years before the presentation, laparotomy with operative detorsion without colopexy for viable transverse colon volvulus. The patient was explored, and transverse colectomy was done with two-stage procedures. The transverse colon volvulus can occur simultaneously or metachronously with other types of colonic volvulus. A high index of suspicion is needed for diagnosis. Management of transverse colon volvulus should be resection with or without primary anastomosis.

Transverse colon volvulus presenting as bowel obstruction, atelectasis, and displacement of the right lobe of the liver into the left upper abdominal quadrant: a case report

BACKGROUND

Transverse colon volvulus is an uncommon cause of intestinal obstruction. It is a surgical emergency that can lead to bowel infarction, peritonitis, and death.

CASE PRESENTATION

We report a case of transverse colon volvulus in a 35-year-old Congolese immigrant man who had a rare presentation with features of intestinal obstruction associated with right lung collapse and left mediastinal shift.

CONCLUSION

This case is unusual because it presented with respiratory features that mimicked a pneumothorax in addition to features of intestinal obstruction. The use of point-of-care lung ultrasound was helpful in ruling out a pneumothorax, and this could help avoid situations such as unintentional chest drain insertions by other professionals who may encounter a similar case. Because transverse colon volvulus is rare, a high level of suspicion and awareness is required to make an accurate diagnosis.

Ischemic volvulus of the transverse colon caused by intestinal malrotation: A case report

Introduction

Congenital Intestinal malrotation is a complex disorder caused by incomplete or abnormal rotation of the intestine during fetal development. Volvulus of the transverse colon secondary to intestinal malrotation is a rare cause of acute abdomen in adults. It has a high risk of mortality, hence the need for an urgent diagnosis and surgical intervention.

Case report

We report an unusual case of volvulus of the transverse colon caused by intestinal malrotation. A 21-year-old women presented abdominal pain with nausea and vomiting. On clinical examination, the abdomen was tympanic to percussion with peritoneal sensitivity. The abdominal X-ray revealed a massive obstruction of the distended large intestine with a “U-shaped” loop. He underwent an exploratory laparotomy that revealed the diagnosis of transverse colon volvulus with intestinal malrotation. His condition was treated surgically by transverse colectomy with colostomy. The patient died on the second day following a hemodynamic instability.

Conclusion

Transverse colonic volvulus is a rare entity with a high mortality, so it requires urgent diagnosis and surgical intervention.

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Volvulus of the transverse colon secondary to intestinal malrotation is a rare cause of an acute abdomen in adults.

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Volvulus of the transverse colon has a high risk of mortality, so it requires urgent diagnosis and surgical intervention.

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The diagnosis of the volvulus of the transverse colon before surgery is rarely observed, it's most often made intraoperatively.

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The choice of a procedure depends on the general condition of the patient.

Sub-acute transverse colon volvulus an exceptional cause of large bowel obstruction: Case report

Introduction

The sub-acute form of transverse colon volvulus manifests with signs and symptoms of large bowel obstruction. The diagnosis is most often done intraoperatively. We report a rare case of transverse colon volvulus in a 65-year-old female patient with no particular pathological or surgical history.

Case presentation

Sub-acute transverse colon volvulus in an elderly woman with no pathological or surgical history. Manifested with signs and symptoms of colonic obstruction. Surgically treated by a two-stage procedure with good postoperative outcomes.

Discussion

The transverse colon volvulus represents only 2-4% of all colonic volvulus. We discuss the diagnostic and therapeutic approach of our case of transverse colon volvulus through a literature review.

Conclusion

Transverse colon volvulus should be considered as a differential diagnosis in the face of large bowel obstruction. Early diagnosis and treatment improve the prognosis.