Volvulus of the transverse colon in an octogenarian veteran:
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In the USA, the third leading cause of 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, investigators 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.

In particular, this case illustrates the need for the prompt intervention of this unusual entity.

Journal of Surgical Case Reports
Source: https://doi.org/10.1093/jscr/rjab166
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