ABSTRACT
Transverse colon volvulus is an uncommon cause of large bowel obstruction. Clinical presentation is not specific and therefore, diagnosis is usually made by radiological investigation. Plain abdominal radiograph resembles sigmoid volvulus, but gastrograsphin enema in non emergency cases will reveal a more proximal obstruction. Therapy consists of urgent surgery, usually with resection of the twisted transverse colon. We present a case with an overview of the literature
Subject(s)
Humans , Male , Adult , Intestinal Obstruction , Intestinal Volvulus/diagnostic imaging , Intestinal Volvulus/surgery , Colon, Transverse/pathology , Colon, Transverse/surgeryABSTRACT
We review an interesting case of elective colonoscopy for rectal bleeding in a 68-year-old woman complicated by splenic rupture. She was managed by aggressive fluid and blood resuscitation followed by splenectomy. She had a smooth recovery and was discharged home 4 days after admission. The extreme rarity and interesting clinical course of the patient are discussed