Malrotation with transverse colon volvulus in early pregnancy: a rare cause for acute intestinal obstruction

Sharma, Digvijoy; Parameshwaran, Rajesh; Dani, Tushar; Shetty, Prakash

doi:10.1136/bcr-2013-200820

Cited by 12 publications

(11 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Physiological factors include large bowel distension secondary to distal impediment to defecation in chronic constipation 2 5. Other causes have been reported, such as Chilaiditi’s syndrome,6 Clostridium difficile associated pseudomembranous colitis7 and impaired intestinal motility in pregnancy 8. In our case, constipation from use of chronic opioids for controlling symptoms of sickle cell disease might have precipitated the condition.…”

Section: Discussionmentioning

confidence: 63%

Transverse colon volvulus in a patient with sickle cell disease

2019

View full text Add to dashboard Cite

Although colonic volvulus is a relatively rare cause of large bowel obstruction, accounting for up to 5% of all cases of intestinal obstruction, transverse colon volvulus is extremely uncommon compared with volvulus of the sigmoid colon or caecum and is responsible for only 3% of all reported cases. We report an unusual case of spontaneous volvulus of the transverse colon in a young man with sickle cell disease who underwent resection with primary anastamosis. Having a high index of suspicion and early operative intervention allowed for this patient to have an uneventful postoperative course.

show abstract

Section: Discussionmentioning

confidence: 63%

Transverse colon volvulus in a patient with sickle cell disease

2019

View full text Add to dashboard Cite

show abstract

“…The uncommon occurrence of splenic flexure volvulus can be attributed to the splenic flexure being tethered by 3 ligamentous attachments, making it less likely to malrotate [ 7 ]. The underlying cause of this condition is yet to be precisely defined, however it is widely hypothesised that prior abdominal surgery, chronic constipation and colonic dysmotility predispose an individual to a colonic volvulus [ 3 , 5 , [7] , [8] , [9] , [10] ]. An increased risk of volvulus has been associated with Crohn’s disease, Chagas disease and pregnancy [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…This most commonly occurs at the sigmoid colon and caecum, however can also rarely occur at the splenic flexure, small bowel, transverse colon, stomach or gallbladder [ 2 , 3 ]. A splenic flexure volvulus is considered exceptionally rare, accounting for only 2% of colonic volvulus [ 4 , 5 ]. The following case is reported in line with the SCARE criteria case report guidelines [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

A case report of a rare and challenging gangrenous splenic flexure volvulus in a pregnant patient

Bullen

Lewin

Cross

et al. 2018

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

“…Sharma et al has described a case of malrotation with transverse colon volvulus in a patient presenting with early pregnancy and acute intestinal obstruction. 15 Other presentations are acute or chronic constipation, indefinite discomfort over the colon, indigestion, loss of weight, insomnia and pain are some of the symptomatology patients present with.…”

Section: Discussion Of Managementmentioning

confidence: 99%

Right Sided Sigmoid Colon and Redundant Descending Colon on Conventional and Ct Imaging

Singh¹,

Kumar²,

Gupta³

2018

jemds

View full text Add to dashboard Cite

The patient was referred for barium studies of colon, which showed a loop of colon in pelvic region (at normal location of ileal loops) and redundant and long descending colon extending across midline to reach hepatic flexure on right and continuing as sigmoid colon on right side. Transverse colon and ascending colon were normal in length and position. On CECT abdomen of the patient, a long segment of descending colon was identified. Its first part stretched obliquely from the splenic flexure to the right side traversing the umbilical quadrant, then it turned right of midline at the level of L5 vertebra. Later it turned upward and toward the right, ascending up to the level of body of L2 vertebra. The third part descended obliquely on the medial side of the ascending colon up to the pelvic brim. The fourth part was in the lesser pelvis and continued as the sigmoid colon in the right iliac fossa. The inferior mesenteric artery was seen arising from right side of ventral surface of abdominal aorta opposite third lumbar vertebra. Descending colon is part of large intestine which lies along the left side of abdomen, posterior to left kidney. It ends in sigmoid colon, which is situated in pelvis and ends in rectum at S3 level. While descending colon is a retroperitoneal structure, sigmoid colon is suspended by mesocolon. Various case reports are reported in literature regarding displaced descending colon discovered during anatomic dissection. Very few case reports have been made regarding identification of redundant colon in a clinical patient. We present a case of redundant and right sided descending colon with right sided sigmoid colon and double hepatic flexure, which has long redundant segments on barium enema and CECT abdomen. There is also associated variations in blood vessels supplying these anomalous colons. Case was confirmed on CECT abdomen.

show abstract

Malrotation with transverse colon volvulus in early pregnancy: a rare cause for acute intestinal obstruction

Cited by 12 publications

References 7 publications

Transverse colon volvulus in a patient with sickle cell disease

Transverse colon volvulus in a patient with sickle cell disease

A case report of a rare and challenging gangrenous splenic flexure volvulus in a pregnant patient

Right Sided Sigmoid Colon and Redundant Descending Colon on Conventional and Ct Imaging

Contact Info

Product

Resources

About