Volvulus of the transverse colon

Kaushik, Robin; Jayant, Mayank

doi:10.7869/tg.2012.56

Cited by 3 publications

(2 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Management of obstructed incisional hernia is primarily surgical with immediate exploration, delaying which might result in gangrene or even perforation [ 11 ]. A synthetic mesh is routinely placed in case there is no gross contamination.…”

Section: Discussionmentioning

confidence: 99%

Volvulus of the Transverse Colon Herniated Through Drain Site

Prakash¹,

Shaikh²,

Prakash³

et al. 2023

Cureus

View full text Add to dashboard Cite

Herniation of the transverse colon and volvulus of it occurring through the previous surgical drain site, presenting as intestinal obstruction, has never been reported. We present an 80-year-old female who complained of abdominal swelling for 10 years. She started developing pain abdomen for 10 days and obstipation for three days. Abdominal examination showed a tender mass in the right lumbar region, with all borders being distinct, and there was no cough impulse. There is a lower midline scar from the previous laparotomy and a small scar over the swelling (drain site). Imaging studies were diagnostic of large bowel obstruction due to the herniation and volvulus of the transverse colon through the previous surgical drain site. She underwent laparotomy, derotation of transverse colon with hernia reduction, and onlay meshplasty. She had an uneventful postoperative course and was discharged.

show abstract

Section: Discussionmentioning

confidence: 99%

Volvulus of the Transverse Colon Herniated Through Drain Site

Prakash¹,

Shaikh²,

Prakash³

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…The clinical presentation of this condition is vague, but sudden abdominal pain with abdominal distention is the most common presentation, while chronic and gradual progressive pain is a less common presentation [5] . Our patient presented with sudden abdominal pain that progressed to more severe pain with distention.…”

Section: Discussionmentioning

confidence: 99%

Transverse Colon Volvulus with Bowel Obstruction Management: A Case Report

Mubarah

Alanazi

Al-Jabali

et al. 2023

ijirms

View full text Add to dashboard Cite

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.

show abstract

Volvulus of the Transverse Colon

Huerta

Pickett

Mottershaw

et al. 2021

The American Surgeon™

View full text Add to dashboard Cite

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.

show abstract

Volvulus of the transverse colon

Cited by 3 publications

References 3 publications

Volvulus of the Transverse Colon Herniated Through Drain Site

Volvulus of the Transverse Colon Herniated Through Drain Site

Transverse Colon Volvulus with Bowel Obstruction Management: A Case Report

Volvulus of the Transverse Colon

Contact Info

Product

Resources

About