Vólvulo del colon transverso espontáneo: reporte de dos casos

B, Diego Severiche; S, Reinaldo Andrés Rincón; D, Andrés Montoya; M, Alejandro Concha; C, Diana Carolina Hennessey

doi:10.22516/25007440.74

Cited by 4 publications

(5 citation statements)

References 9 publications

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“…There are no specific pathognomonic radiological features of transverse colon volvulus on abdominal radiographs, but this condition may be occasionally associated with Chilaiditi syndrome or multiple air-fluid levels, which are non-specific radiological features of transverse colon volvulus [6] . Due to the previously mentioned factors, pre-operative diagnosis is hardly achieved; therefore, a CT scan is highly recommended for early diagnosis thus proper management [1] .…”

Section: Discussionmentioning

confidence: 99%

Transverse Colon Volvulus with Bowel Obstruction Management: A Case Report

Mubarah

Alanazi

Al-Jabali

et al. 2023

ijirms

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Background: Very few cases of transverse colon volvulus have been reported in the literature. The condition is considered an emergency and needs urgent recognition and management before the affected patient develops peritonitis or bowel infarction. Case presentation: We report a case of a 70-year-old man with quadriplegia who experienced abdominal pain and constipation for 2 days. Abdominal radiography showed distended colon, and computed tomography (CT) revealed closed-loop obstruction with signs of bowel ischemia. Conclusion: Surgeons may not encounter such a case of transverse colon volvulus throughout their entire surgical career and early recognition is the cornerstone to a successful result.

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Section: Discussionmentioning

confidence: 99%

Transverse Colon Volvulus with Bowel Obstruction Management: A Case Report

Mubarah

Alanazi

Al-Jabali

et al. 2023

ijirms

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“…13 The presence of minor mesenteric connections and a greater incidence of extended colon mesentery may enhance the vulnerability of colonic volvulus in those populations. 8,11 Several risk factors have been identified to have significant implications for the occurrence of colonic volvulus including intestinal malrotation, enlarged colon, abdominal adhesions, and pregnancy. Other contributing factors include a high-fiber diet, chronic consumption with extensive laxative use, and myopathy.…”

Section: Introductionmentioning

confidence: 99%

“…Transverse colonic volvulus has been recorded in less than 100 instances worldwide, mostly in adults and elderly of African descent 6 . Volvulus mainly affects the sigmoid and cecum, but the transverse colon is seldom impacted 7,8 …”

Section: Introductionmentioning

confidence: 99%

“…Accumulating evidence from literature documented the high prevalence of colonic volvulus in the Middle East, India, South America, Africa, and Russia where volvulus accounts for about 50% of all cases of colonic obstruction 13 . The presence of minor mesenteric connections and a greater incidence of extended colon mesentery may enhance the vulnerability of colonic volvulus in those populations 8,11 . Several risk factors have been identified to have significant implications for the occurrence of colonic volvulus including intestinal malrotation, enlarged colon, abdominal adhesions, and pregnancy.…”

Section: Introductionmentioning

confidence: 99%

“…6 Volvulus mainly affects the sigmoid and cecum, but the transverse colon is seldom impacted. 7,8 Colonic volvulus involves a "mobile" colon segment with elongated mesentery, termed "sigmoid volvulus (SV), and TCV complex." The elongated mesentery lets the colon rotate, causing obstruction, and ischemia.…”

Section: Introductionmentioning

confidence: 99%

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Transverse colon volvulus: A case report of an uncommon cause of acute abdomen in pediatrics

Ortega,

Ruano,

Al‐Zoubi

et al. 2024

Clinical Case Reports

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Key Clinical MessageTransverse colonic volvulus (TCV) is a serious condition with a mortality rate of up to 33%. It is very rare, especially in children. Despite its rarity, surgeons should have a high index of suspicion and include it in the list of differential diagnoses, especially in patients with developmental delays and associated uncommon syndromes. Resection and anastomosis, whether as a one‐stage or two‐stage procedure, proved to be the best treatment options for children. Since prompt identification and management are vital, this paper presents useful information on the presentation, treatment, and outcome of this case report.

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Volvulus of the Transverse Colon

Huerta

Pickett

Mottershaw

et al. 2021

The American Surgeon™

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Background In the United States, the third leading cause of a large bowel obstruction (LBO) is colonic volvulus with torsion occurring most commonly in the sigmoid and the cecum. Transverse colonic volvulus (TCV) is exceedingly rare and specific involvement of the splenic flexure (SFV) is even less common. The present analysis was undertaken to interrogate current trends in presentation, management, and outcomes of TCV. Methods In the present report, the world literature was reviewed for the past 90 years (1932 to 2021). We conducted a systematic review to identify all cases of TCV following the PRISMA guidelines. Results We identified 317 cases of TCV. This included SFV (n = 75), TCV in pediatric patients (n = 63), TCV in pregnant patients (n = 8), and TCV associated with other pathology such as Chilaiditi’s syndrome (n = 11). Compared to sigmoid and cecal volvulus, TCV was rare (.94%). It affected slightly more women (54%) than men, commonly in their third decade of life (37.7 ± 23.8). The clinical presentation and diagnostic imaging were consistent with LBO. Compared to sigmoid volvulus, there was a limited role for conservative management and colonoscopic decompression was less effective. The most common operation was segmental resection (25%). Mortality was (20%) commonly because of cardiopulmonary complications and affected more women (63%). The average age of this cohort was 55.7±24.6 years old. Discussion Our review showed that TCV is an uncommon surgical entity. The diagnosis is likely to be made at laparotomy. Prompt recognition is paramount in preventing ischemia necrosis and perforation. Compared to sigmoid and cecal volvulus, the mortality for TCV remains high.

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Vólvulo del colon transverso espontáneo: reporte de dos casos

Cited by 4 publications

References 9 publications

Transverse Colon Volvulus with Bowel Obstruction Management: A Case Report

Transverse Colon Volvulus with Bowel Obstruction Management: A Case Report

Transverse colon volvulus: A case report of an uncommon cause of acute abdomen in pediatrics

Volvulus of the Transverse Colon

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