Synchronous Volvulus of the Sigmoid Colon and the Transverse Colon: A Case Report at Gabriel Toure University Hospital in Mali

Traoré Amadou,Traoré Alhassane,Bah Amadou,Kelly Bouréima,Doumbia Arouna,Tounkara Idrissa,Diarra Abdoulaye,Thiam Souleymane,Traoré Kadia,S Zakari ,Sidibé Boubacar Yoro ,Koniba Keïta ,Adama Koné ,Boubacar Karembé ,Yacouba Bouaré ,Kazuhide Tani ,I Diakité ,Magagi Amadou ,Madiassa Konaté ,Dembelé Bakary Tientigui ,Togo Aoyama

doi:10.4236/ss.2021.129032

Traoré Amadou, Traoré Alhassane + Show 19 more

Open Access

https://doi.org/10.4236/ss.2021.129032

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Abstract

Synchronous transverse and sigmoid colon volvulus are very rare. We report the case of a 23-year-old man who underwent emergency surgery for sigmoid colon volvulus. An intraoperative finding of transverse colon volvulus associated with sigmoid colon volvulus was made. Left and transverse colectomy was performed followed by colorectal anastomosis. The postoperative period was uneventful. Synchronous volvulus of the transverse and sigmoid colon is a surgical emergency. The clinical signs are not specific and the discovery is often intraoperative. It is necessary to know how to evoke the diagnosis in a case of sigmoid colon volvulus, to avoid inadequate management with dramatic consequences.

Highlights

Traoré Amadou1*, Konaté Madiassa1, Diarra Abdoulaye2, Tounkara Idrissa1, Saye Zakari1, Doumbia Arouna1, Bah Amadou1, Sidibé Boubacar Yoro1, Maïga Amadou1, Koné Tani1, Thiam Souleymane1, Karembé Boubacar3, Kelly Bouréima1, Traoré Kadia3, Kéita Koniba2, Bouaré Yacouba1, Koné Assitan2, Diakité Ibrahim1, Dembélé Bakary Tientigui1, Traoré Alhassane1, Togo Adégné1
It is necessary to know how to evoke the diagnosis in a case of sigmoid colon volvulus, to avoid inadequate management with dramatic consequences
We report a case of synchronous volvulus of sigmoid colon and transverse colon treated at the Gabriel Touré University Hospital with a review of the literature on diagnostic and therapeutic aspects

Summary

Case Presentation

A 23-year-old man, single, was admitted in emergency reception department of the Gabriel Touré University Hospital for abdominal pain associated with inability to pass stools and gas. Vomiting appeared the day and did not relieve the patient. He had no signs of gastrointestinal bleeding or fever. Faced with this clinical picture, he unsuccessfully followed traditional treatment and consulted in a community health center from where he was urgently referred to the Gabriel Touré University Hospital on suspicion of an acute intestinal obstruction. The immediate outcomes were simple; the nasogastric tube was removed the day after the surgery (D1) with a gradual resumption of feeding; transit resumed on D3. The late outcomes (at 6 months and 9 months) were simple

Discussion

Findings

Conclusion