TY - JOUR
T1 - Volvulus of the transverse colon in an octogenarian veteran
AU - Pickett, Maryanne L.
AU - Mottershaw, Ann M.
AU - Gupta, Pramod
AU - Huerta, Sergio
N1 - Publisher Copyright:
© 2021 The Author(s).
PY - 2021/5/1
Y1 - 2021/5/1
N2 - In the USA, the third leading cause of a large bowel obstruction in adults is volvulus with torsion occurring commonly in the sigmoid and the cecum. Transverse colonic volvulus is exceedingly rare and specific involvement of the splenic flexure is even more uncommon. In the present report, we discuss a Veteran octogenarian who presented with a long-standing history of constipation, but then developed an acute abdomen from a large bowel obstruction. At laparotomy, he had a double closed loop obstruction with volvulus of the splenic flexure. The colon at the splenic flexure was ischemic with patchy areas of necrosis, but no perforation. He underwent a subtotal colectomy with an ileostomy. This case illustrates the need for prompt intervention of this unusual entity. Current trends in the incidence, management, morbidity and mortality are discussed.
AB - In the USA, the third leading cause of a large bowel obstruction in adults is volvulus with torsion occurring commonly in the sigmoid and the cecum. Transverse colonic volvulus is exceedingly rare and specific involvement of the splenic flexure is even more uncommon. In the present report, we discuss a Veteran octogenarian who presented with a long-standing history of constipation, but then developed an acute abdomen from a large bowel obstruction. At laparotomy, he had a double closed loop obstruction with volvulus of the splenic flexure. The colon at the splenic flexure was ischemic with patchy areas of necrosis, but no perforation. He underwent a subtotal colectomy with an ileostomy. This case illustrates the need for prompt intervention of this unusual entity. Current trends in the incidence, management, morbidity and mortality are discussed.
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U2 - 10.1093/jscr/rjab166
DO - 10.1093/jscr/rjab166
M3 - Article
C2 - 33986944
AN - SCOPUS:85126826993
SN - 2042-8812
VL - 2021
JO - Journal of Surgical Case Reports
JF - Journal of Surgical Case Reports
IS - 5
M1 - rjab166
ER -