Very rare case of synchronous volvulus of the sigmoid colon and caecum causing large-bowel obstruction

Roy, Susmit; Tay, Yeng Kwang; Kozman, Daniel

doi:10.1136/bcr-2018-227375

Cited by 5 publications

(9 citation statements)

References 24 publications

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“…In all these types, there is potential for intestinal obstruction and strangulation [11,24] with the risk higher in types 1 and 2 which constitute about 80% of caecal volvulus. Caecal volvulus may sometimes coexist with a synchronous splenic flexure volvulus [25] and/or sigmoid volvulus [26].…”

Section: Pathophysiologymentioning

confidence: 99%

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Caecal Volvulus

Okeny¹

2020

Intestinal Obstructions

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Colonic volvulus is the third leading cause of large bowel obstruction. About 35% of these are located in the caecum. Though, relatively, a rare cause of obstruction, the incidence of caecal volvulus is steadily increasing at a rate of about 5% per year. Mortality due to caecal volvulus may be as high as 40% especially in the presence of gangrene and sepsis. Clinical presentation may be acute and fulminant or as a mobile caecum syndrome with intermittent abdominal pain. "Whirl," "Coffee bean," and "bird beak" signs seen on computed tomography are pathognomonic. Colectomy is the preferred treatment as it obviates any chance of recurrence. A conservative approach to colectomy such as limited ileocaecal resection and ileostomy formation in critically ill patients or in those with poor physiological reserve may be associated with better postoperative outcomes.

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Section: Pathophysiologymentioning

confidence: 99%

“…In patients with poor physiological reserve, a conservative approach such as limited ileocaecal resection or formation of an ileostomy may reduce intraoperative time and result in better postoperative outcome [47]. In synchronous caecal and sigmoid volvulus, a total colectomy with ileostomy may sometimes be necessary [26].…”

Section: Operative Treatmentmentioning

confidence: 99%

Caecal Volvulus

Okeny¹

2020

Intestinal Obstructions

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“…Roy et al . [ 3 ] also attempted conservative management in a stable patient with flexible sigmoidoscopy and rectal tube insertion. This was ultimately unsuccessful with recurrence following removal of the rectal tube.…”

Section: Discussionmentioning

confidence: 99%

“…The decision for ileostomy was based on the presence of multiple risk factors for anastomotic leak in these patients, including age, gender, comorbidities and intraoperative findings [ 4 ]. Definitive surgical management described in previous case reports was usually subtotal colectomy with either end ileostomy [ 3 , 5 ] or ileorectal anastomosis [ 6 , 7 ]. Singh et al .…”

Section: Discussionmentioning

confidence: 99%

Rare synchronous caecal and sigmoid volvulus: management of two cases

Butt

Lee

Aseem

et al. 2021

Journal of Surgical Case Reports

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Colonic volvulus is one of leading causes of large bowel obstruction following colorectal cancer and diverticulitis, accounting for 5% of cases. Sigmoid volvulus is most common (75%) followed by volvulus of the caecum (15%), transverse colon (3%) and splenic flexure (2%). Synchronous volvulus of the caecum and sigmoid is very rare, with six reported cases in the literature to the best of our knowledge. We report two cases within 6 months. The key learning points include that classical radiological signs of both caecal and sigmoid volvulus may not be present, and that prompt, definitive management is necessary to prevent recurrence and morbidity.

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“…There are approximately 100 cases of TCV reported in the medical literature with many of them discovered at the time of surgery [2] . Synchronous double volvulus of the sigmoid colon and cecum has been reported in the literature [3 , 4] , but never a synchronous double volvulus of the transverse colon and cecum. We present the case of a 26-year-old woman with a history of scleroderma-systemic erythematosus lupus (SLE) overlap syndrome who was discovered to have synchronous volvulus of the transverse colon and cecum on CT imaging.…”

Section: Introductionmentioning

confidence: 96%

Synchronous Volvulus of the Transverse Colon and Cecum Associated with Scleroderma and Lupus

Manasewitsch

Lee

Khuu

2021

Radiology Case Reports

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Colonic volvulus may infrequently occur in the transverse colon, and synchronous double volvulus is a rarely reported phenomenon in the literature. Additionally, intestinal volvulus is a rare but serious complication that has been reported in scleroderma and systemic lupus erythematosus (SLE) patients. We report a 26-year-old patient with a history of scleroderma-SLE overlap syndrome who presented with an acute abdomen. CT imaging revealed a transverse colon volvulus and a cecal bascule (cecal volvulus). To our knowledge, this is the first reported case of synchronous double volvulus of the transverse colon and cecum. Additionally, this is the second reported case of transverse colon volvulus occurring in a patient with scleroderma and the first case in a patient with scleroderma-SLE overlap syndrome.

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Very rare case of synchronous volvulus of the sigmoid colon and caecum causing large-bowel obstruction

Cited by 5 publications

References 24 publications

Caecal Volvulus

Caecal Volvulus

Rare synchronous caecal and sigmoid volvulus: management of two cases

Synchronous Volvulus of the Transverse Colon and Cecum Associated with Scleroderma and Lupus

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