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Transverse colon volvulus presenting as bowel obstruction: a case report

BACKGROUND: Transverse colon volvulus is an uncommon cause of bowel obstruction. The total number of cases reported in the literature is 100. It constitutes a surgical emergency since it can lead to bowel infarction, peritonitis, and death if not diagnosed at once. It seemed appropriate to report th...

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Autores principales: Hasnaoui, Hamza, Laytimi, Faouzi, Elfellah, Yusuf, Mouaqit, Ouadii, Benjelloun, El Bachir, Ousadden, Abdelmalek, Taleb, Khalid Ait, El bouhaddouti, Hicham
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6534884/
https://www.ncbi.nlm.nih.gov/pubmed/31126322
http://dx.doi.org/10.1186/s13256-019-2080-1
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author Hasnaoui, Hamza
Laytimi, Faouzi
Elfellah, Yusuf
Mouaqit, Ouadii
Benjelloun, El Bachir
Ousadden, Abdelmalek
Taleb, Khalid Ait
El bouhaddouti, Hicham
author_facet Hasnaoui, Hamza
Laytimi, Faouzi
Elfellah, Yusuf
Mouaqit, Ouadii
Benjelloun, El Bachir
Ousadden, Abdelmalek
Taleb, Khalid Ait
El bouhaddouti, Hicham
author_sort Hasnaoui, Hamza
collection PubMed
description BACKGROUND: Transverse colon volvulus is an uncommon cause of bowel obstruction. The total number of cases reported in the literature is 100. It constitutes a surgical emergency since it can lead to bowel infarction, peritonitis, and death if not diagnosed at once. It seemed appropriate to report this case that was treated at the Department of Visceral Surgery A, University Hospital Center Hassan II of Fez in Morocco. CASE PRESENTATION: We report a rare case of transverse colon volvulus in a 42-year-old Arabic man, with no particular history, who presented to our emergency department with a 5-day history of constipation, progressive abdominal pain, nausea, and vomiting. His last bowel movement had been 3 days ago. Abdominal radiography showed a large bowel obstruction with a “U-shaped” loop in the left upper abdomen. Abdominal computed tomography was not performed because of impaired renal function. He was operated on urgently after conditioning and the diagnosis of a transverse colon volvulus was done intraoperatively. Rotated in a 360° clockwise direction on its mesentery, the bowel was intact without signs of ischemia. An extended right hemicolectomy was carried out with end-to-side ileocolic anastomosis. Through this case, we will try to discuss its physiopathology, etiologies, diagnosis, and management in emergencies. CONCLUSION: This case is unusual because no etiological factor has been found. Its diagnosis can be difficult and management effectiveness remains controversial. It is important to highlight this case and those of the literature, as many surgeons may have never seen a case of transverse colon volvulus. Volvulus of the transverse colon may therefore not be considered in the differential diagnosis of recurrent intermittent abdominal pain or acute intestinal obstruction. Prompt recognition with emergency intervention constitutes the key to a successful outcome.
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spelling pubmed-65348842019-05-30 Transverse colon volvulus presenting as bowel obstruction: a case report Hasnaoui, Hamza Laytimi, Faouzi Elfellah, Yusuf Mouaqit, Ouadii Benjelloun, El Bachir Ousadden, Abdelmalek Taleb, Khalid Ait El bouhaddouti, Hicham J Med Case Rep Case Report BACKGROUND: Transverse colon volvulus is an uncommon cause of bowel obstruction. The total number of cases reported in the literature is 100. It constitutes a surgical emergency since it can lead to bowel infarction, peritonitis, and death if not diagnosed at once. It seemed appropriate to report this case that was treated at the Department of Visceral Surgery A, University Hospital Center Hassan II of Fez in Morocco. CASE PRESENTATION: We report a rare case of transverse colon volvulus in a 42-year-old Arabic man, with no particular history, who presented to our emergency department with a 5-day history of constipation, progressive abdominal pain, nausea, and vomiting. His last bowel movement had been 3 days ago. Abdominal radiography showed a large bowel obstruction with a “U-shaped” loop in the left upper abdomen. Abdominal computed tomography was not performed because of impaired renal function. He was operated on urgently after conditioning and the diagnosis of a transverse colon volvulus was done intraoperatively. Rotated in a 360° clockwise direction on its mesentery, the bowel was intact without signs of ischemia. An extended right hemicolectomy was carried out with end-to-side ileocolic anastomosis. Through this case, we will try to discuss its physiopathology, etiologies, diagnosis, and management in emergencies. CONCLUSION: This case is unusual because no etiological factor has been found. Its diagnosis can be difficult and management effectiveness remains controversial. It is important to highlight this case and those of the literature, as many surgeons may have never seen a case of transverse colon volvulus. Volvulus of the transverse colon may therefore not be considered in the differential diagnosis of recurrent intermittent abdominal pain or acute intestinal obstruction. Prompt recognition with emergency intervention constitutes the key to a successful outcome. BioMed Central 2019-05-25 /pmc/articles/PMC6534884/ /pubmed/31126322 http://dx.doi.org/10.1186/s13256-019-2080-1 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Hasnaoui, Hamza
Laytimi, Faouzi
Elfellah, Yusuf
Mouaqit, Ouadii
Benjelloun, El Bachir
Ousadden, Abdelmalek
Taleb, Khalid Ait
El bouhaddouti, Hicham
Transverse colon volvulus presenting as bowel obstruction: a case report
title Transverse colon volvulus presenting as bowel obstruction: a case report
title_full Transverse colon volvulus presenting as bowel obstruction: a case report
title_fullStr Transverse colon volvulus presenting as bowel obstruction: a case report
title_full_unstemmed Transverse colon volvulus presenting as bowel obstruction: a case report
title_short Transverse colon volvulus presenting as bowel obstruction: a case report
title_sort transverse colon volvulus presenting as bowel obstruction: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6534884/
https://www.ncbi.nlm.nih.gov/pubmed/31126322
http://dx.doi.org/10.1186/s13256-019-2080-1
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