Transverse colon volvulus in a patient with autism

Shah, Rony; Klumpp, Linda C; Negron-Diaz, Juan; Carmain, Torr; Jordan, Jeffrey

doi:10.1093/jscr/rjaa284

Cited by 5 publications

(8 citation statements)

References 8 publications

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“…This allows the formation of a volvulus at this location [ 7 ]. risk factors that predispose to the onset of (TCV) are history of volvulus, previous abdominal surgery, congenital malformations such as intestinal malrotation with inadequate fixation of the posterior abdominal wall, Chilaiditis syndrome, pseudomembranous colitis associated with Clostridium difficile , pregnancy, and chronic constipation as it causes severe distension of the transverse colon [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…The X-ray reveal the presence of a distended colon with two levels of fluid in the epigastrium. In the subacute type, the achievement of an early diagnosis through abdominal CT scan is advised, but it is not recommended in acute settings because it can delay surgical intervention [ 2 , 4 ]. The CT scan findings in our case suggested a volvulus, without being able to identify its exact site, but the diagnostic confirmation was only made intraoperatively.…”

Section: Discussionmentioning

confidence: 99%

“…The (TCV) diagnosis is difficult. It is most often done intraoperatively [ 2 ]. Which presents a real challenge for surgeons.…”

Section: Introductionmentioning

confidence: 99%

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

Elbakouri

Lafkih

Andaloussi

et al. 2021

Annals of Medicine &Amp; Surgery

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

Elbakouri

Lafkih

Andaloussi

et al. 2021

Annals of Medicine &Amp; Surgery

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“…Transverse colon volvulus is a rare condition [1]. It was first described in 1932 by Kallio in Scandinavian literature [1,2].…”

Section: Introductionmentioning

confidence: 99%

Recurrent Transverse Colon Volvulus After Operative Detorsion: A Case Report

Lemi Yadeta,

Abdisa Tesso,

James Oriho

2024

Cureus

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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.

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“…Most volvulus occur in the sigmoid colon (60-80%), cecum (20-40%) and transverse colon (3%); however, any segment of the colon may rotate if it has a long, mobile mesentery that narrows at the base (4). Ascending colon volvulus is a very rare complication of a rare embryological anomaly, characterized by an excessively mobile mesentery (5).…”

Section: Introduction Introductionmentioning

confidence: 99%

Giant Volvulus of the Ascending Colon as a Rare Cause of Bowel Obstruction in a Young Female: A Case Report

Caballero-Alvarado,

Lopez-Caballero,

Zavaleta-Corvera

et al. 2023

SGO

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Introduction: Volvulus of the ascending colon is a rare cause of large bowel obstruction and presents because of its mesentery with excessive mobility allowing it to rotate on its axis. It is usually due to a congenital or acquired anatomical variation. Objective: To describe volvulus of the ascending colon as a rare complication in a young patient, whose diagnosis was mistaken for sigmoid volvulus and diaphragmatic hernia. Case report: We present the case of a 27-year-old woman who presented with periumbilical abdominal pain, nausea, vomiting and absence of bowel movements which, according to imaging tests, suggested a sigmoid volvulus and a diaphragmatic hernia at the beginning. After performing a laparotomy, a volvulus of the ascending colon was found up to the middle third of the transverse colon rotated 180º clockwise, a right hemicolectomy was performed plus resection of 10 cm of the distal ileum; it was decided to close the distal colonic end in two planes and perform an ileostomy. Conclusions: The present clinical case aims to show an unusual case of ascending colon volvulus, with initial diagnostic errors; it is intended to inform and instruct medical staff so that they can recognise this presentation of surgical abdomen early, as well as the importance of intervening immediately and avoiding complications.

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Transverse colon volvulus in a patient with autism

Cited by 5 publications

References 8 publications

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

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

Recurrent Transverse Colon Volvulus After Operative Detorsion: A Case Report

Giant Volvulus of the Ascending Colon as a Rare Cause of Bowel Obstruction in a Young Female: A Case Report

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