A Rare Metachronous Colonic Volvulus by Philip Ade Ekhaiyeme in Journal of Clinical Case Reports MedicaI Images and Health Sciences
A Rare Metachronous Colonic Volvulus by Philip Ade Ekhaiyeme in Journal of Clinical Case Reports MedicaI Images and Health Sciences Abstract Introduction : Colonic volvulus is a common cause of large bowel obstruction with the sigmoid colon most commonly affected. Volvulus of the transverse colon is an uncommon occurrence. Rarer still is a transverse colon volvulus developing after surgery for a sigmoid colon volvulus. Early diagnosis is critical as delay in detection and intervention is associated with the risk of complications – perforation, peritonitis, and death. We discuss the case of an 86-year-old man presenting with features of large bowel obstruction 14 months following a sigmoid colectomy for a sigmoid colon volvulus. An erect abdominal radiograph showed massively dilated large bowel loops with multiple air-fluid levels, a gasless pelvis, and no free air under the diaphragm. Obstruction did not resolve with initial non-operative measures necessitating surgical in...