Transverse colonic volvulus after resection of sigmoid volvulus: Presentation of a case report

Sami Eldirdiri,Samaual Eldirdiri,Afraa G Suliman,Majdi O.A Bakhiet,Muaz M Ata Elmanan,Yasir O.M Awadelseed,Hawa Y Adam,Idriss H Musa

doi:10.1016/j.ijscr.2019.06.008

Abstract

IntroductionColonic volvulus is the third leading cause of colonic obstruction in the world following colorectal cancer and complicated sigmoid diverticulitis. Transverse colon is the rarest among other colonic volvulus. Moreover synchronous/metachronous transverse colonic volvulus is extremely rare condition with only few case reported in the literature, we hereby report this case of metachronous transverse colonic volvulus years after sigmoidectomy for sigmoid volvulus Case presentationA case of transverse colon volvulus in elderly male with history of chronic constipation and a previous history of a sigmoid volvulus resection few years ago. He presented as an emergency with typical features of acute large bowel obstruction. He was successfully managed with a good out come DiscussionWe discuss the presentation, diagnosis and surgical management with a literature review of this case of a metachronous transverse colonic volvulus. ConclusionMetachronous colonic volvulus is an extremely rare cause of large bowel obstruction and should be considered as a differential diagnosis especially in geographic areas with high rate of volvulus or in those with underlying risk factor

Highlights

Colonic volvulus is the third leading cause of colonic obstruction in the world following colorectal cancer and complicated sigmoid diverticulitis
We hereby describe a rare case of a transverse colon Volvulus occurring in patient with previous history of sigmoid resection due to sigmoid volvulus
The combination of sigmoid and transverse colonic volvulus might be synchronous or metachronous. We report this case of metachronous transverse colonic volvulus in an elderly man, who had a history of chronic constipation, after previous sigmoidectomy for a sigmoid volvulus 4 years ago

Summary

INTRODUCTION

Colonic volvulus is the third leading cause of colonic obstruction in the world following colorectal cancer and complicated sigmoid diverticulitis. Synchronous/metachronous transverse colonic volvulus is extremely rare condition with only few case reported in the literature, we hereby report this case of metachronous transverse colonic volvulus years after sigmoidectomy for sigmoid volvulus CASE PRESENTATION: A case of transverse colon volvulus in elderly male with history of chronic constipation and a previous history of a sigmoid volvulus resection few years ago. He presented as an emergency with typical features of acute large bowel obstruction. CONCLUSION: Metachronous colonic volvulus is an extremely rare cause of large bowel obstruction and should be considered as a differential diagnosis especially in geographic areas with high rate of volvulus or in those with underlying risk factor

Case presentation

Discussion

Conclusion

Ethical approval