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Bayileyegn NS, Merga OT. Simultaneous cecal and transverse colon volvulus: An exceedingly rare case of intestinal obstruction from Ethiopia: A case report and review of literatures. Int J Surg Case Rep 2023; 111:108725. [PMID: 37769412 PMCID: PMC10539922 DOI: 10.1016/j.ijscr.2023.108725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2023] [Revised: 08/21/2023] [Accepted: 08/22/2023] [Indexed: 09/30/2023] Open
Abstract
INTRODUCTION AND IMPORTANCE Bowel obstruction is a mechanical or functional blockade of intestinal contents from evacuation to the adjacent distal bowel or external environment. Cecal volvulus is the twisting of distal ileum, cecum and ascending colon on their mesentery. Transverse colon volvulus is another rare cause of large bowel obstruction even less prevalent than cecal volvulus. Colectomy with decompression stoma is the widely practice of intervention in cecal or transverse colon volvulus. CASE PRESENTATION A 45 years-old male patient presented to our center with failure to pass feces and flatus of 5 days duration. He also had crampy abdominal pain, abdominal distention and vomiting of ingested matter. Vital signs were normal except mild tachycardia. He had distended non-tender abdomen, hyperactive bowel sound and hyper-tympanic percussion. However, there was no sign of fluid collection of abdominal or rectal mass. Plain abdominal X-ray showed distended large bowel loops with multiple air fluid levels. Exploratory laparotomy revealed simultaneous cecal and transverse colon clockwise volvulus 270 degrees on their mesentery. DISCUSSION Mechanical bowel obstruction is major cause of surgical admission in both developed and developing countries. Anatomic and congenital factors play significant role in both transverse colon and cecal volvulus. Endoscopic decompression in the case of cecal and transverse colon volvulus is less probable and not recommended. CONCLUSION Simultaneous cecal and transverse colon volvulus is an extremely rare occasion where there is no report in the history of literatures to date. Management involves extended right hemicolectomy with proximal diversion and distal mucus fistula.
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Pitrone P, Cattafi A, Magnani F, Carerj ML, Bellone IG, Nirta G, Monsù E, Bonanno D, Trimarchi R, La Face A, Marino MA, Sofia C. Erratum: Spontaneous transverse colon volvulus in a patient with Duchenne muscular dystrophy: An unreported complication. Radiol Case Rep 2023; 18:2318-2322. [PMID: 37153484 PMCID: PMC10159818 DOI: 10.1016/j.radcr.2023.03.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/09/2023] Open
Abstract
[This corrects the article DOI: 10.1016/j.radcr.2022.12.062.][This corrects the article DOI: 10.1016/j.radcr.2023.03.026.].
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Affiliation(s)
- Pietro Pitrone
- Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico "G. Martino" Via Consolare Valeria 1, 98100, Messina, Italy
- Corresponding author.
| | - Antonino Cattafi
- Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico "G. Martino" Via Consolare Valeria 1, 98100, Messina, Italy
| | - Francesca Magnani
- Department of Radiodiagnostic, Oncologic Radiotherapy and Ematology, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario A. Gemelli IRCCS, L.go A. F.Vito 1 Gemelli 8, 00168, Rome, Italy
| | - Maria Ludovica Carerj
- Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico "G. Martino" Via Consolare Valeria 1, 98100, Messina, Italy
| | - Italo Giuseppe Bellone
- Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico "G. Martino" Via Consolare Valeria 1, 98100, Messina, Italy
| | - Giuseppe Nirta
- Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico "G. Martino" Via Consolare Valeria 1, 98100, Messina, Italy
| | - Enrico Monsù
- Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico "G. Martino" Via Consolare Valeria 1, 98100, Messina, Italy
| | - Dora Bonanno
- Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico "G. Martino" Via Consolare Valeria 1, 98100, Messina, Italy
| | - Renato Trimarchi
- Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico "G. Martino" Via Consolare Valeria 1, 98100, Messina, Italy
| | - Alessandro La Face
- Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico "G. Martino" Via Consolare Valeria 1, 98100, Messina, Italy
| | - Maria Adele Marino
- Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico "G. Martino" Via Consolare Valeria 1, 98100, Messina, Italy
| | - Carmelo Sofia
- Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico "G. Martino" Via Consolare Valeria 1, 98100, Messina, Italy
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Kayiira M, Muwanguzi E, Kasozi D, Waitt P, Ayebare R, Musinguzi E, Orimunsi I, Okeny P, Mbide P, Serumaga TA, Tamale N. Transverse colon volvulus presenting as bowel obstruction, atelectasis, and displacement of the right lobe of the liver into the left upper abdominal quadrant: a case report. J Med Case Rep 2023; 17:130. [PMID: 37031203 PMCID: PMC10082976 DOI: 10.1186/s13256-023-03840-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Accepted: 02/23/2023] [Indexed: 04/10/2023] Open
Abstract
BACKGROUND Transverse colon volvulus is an uncommon cause of intestinal obstruction. It is a surgical emergency that can lead to bowel infarction, peritonitis, and death. CASE PRESENTATION We report a case of transverse colon volvulus in a 35-year-old Congolese immigrant man who had a rare presentation with features of intestinal obstruction associated with right lung collapse and left mediastinal shift. CONCLUSION This case is unusual because it presented with respiratory features that mimicked a pneumothorax in addition to features of intestinal obstruction. The use of point-of-care lung ultrasound was helpful in ruling out a pneumothorax, and this could help avoid situations such as unintentional chest drain insertions by other professionals who may encounter a similar case. Because transverse colon volvulus is rare, a high level of suspicion and awareness is required to make an accurate diagnosis.
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Affiliation(s)
- Mubaraka Kayiira
- Infectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda.
| | - Eria Muwanguzi
- Infectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda
| | - Derrick Kasozi
- Infectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda
| | - Peter Waitt
- Infectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda
| | - Rogers Ayebare
- Infectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda
| | - Edwin Musinguzi
- Department of Surgery, Fort Portal Regional Referral Hospital, Fort Portal, Uganda
| | - Innocent Orimunsi
- Department of Surgery, Makerere University College of Health Sciences, Kampala, Uganda
| | - Paul Okeny
- Department of Surgery, Makerere University College of Health Sciences, Kampala, Uganda
| | - Peter Mbide
- Department of Surgery, Makerere University College of Health Sciences, Kampala, Uganda
| | | | - Nicholas Tamale
- Department of Surgery, Makerere University College of Health Sciences, Kampala, Uganda
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Pitrone P, Cattafi A, Magnani F, Carerj ML, Bellone IG, Nirta G, Monsù E, Bonanno D, Trimarchi R, La Face A, Marino MA, Sofia C. Spontaneous transverse colon volvulus in a patient with Duchenne muscular dystrophy: An unreported complication. Radiol Case Rep 2023; 18:1306-1310. [PMID: 36698720 PMCID: PMC9868232 DOI: 10.1016/j.radcr.2022.12.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Revised: 12/26/2022] [Accepted: 12/27/2022] [Indexed: 01/19/2023] Open
Abstract
A 22-year-old male patient with Duchenne muscular dystrophy (DMD) and chronic constipation presents to the emergency room with severe abdominal pain and hive closed to feces and gas. Contrast-enhanced computed tomography of the abdomen demonstrates mechanical ileus due to volvulus of the transverse colon: torsion of the transverse mesocolon is confirmed and subtotaly colectomy is performed, revealing multiple ischemic areas with focal perforations. DMD is frequently associated with gastrointestinal motility disorders, including chronic constipation and life-threatening conditions like intestinal pseudo-obstruction and sigmoid volvulus. To date, transverse colic localization of volvolus represents an unreported condition among patients with DMD.
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Affiliation(s)
- Pietro Pitrone
- Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico ``G. Martino'' Via Consolare Valeria 1, 98100, Messina, Italy,Corresponding author.
| | - Antonino Cattafi
- Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico ``G. Martino'' Via Consolare Valeria 1, 98100, Messina, Italy
| | - Francesca Magnani
- Department of Radiodiagnostic, Oncologic Radiotherapy and Ematology, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario A. Gemelli IRCCS, L.go A. F.Vito 1 Gemelli 8, 00168, Rome, Italy
| | - Maria Ludovica Carerj
- Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico ``G. Martino'' Via Consolare Valeria 1, 98100, Messina, Italy
| | - Italo Giuseppe Bellone
- Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico ``G. Martino'' Via Consolare Valeria 1, 98100, Messina, Italy
| | - Giuseppe Nirta
- Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico ``G. Martino'' Via Consolare Valeria 1, 98100, Messina, Italy
| | - Enrico Monsù
- Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico ``G. Martino'' Via Consolare Valeria 1, 98100, Messina, Italy
| | - Dora Bonanno
- Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico ``G. Martino'' Via Consolare Valeria 1, 98100, Messina, Italy
| | - Renato Trimarchi
- Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico ``G. Martino'' Via Consolare Valeria 1, 98100, Messina, Italy
| | - Alessandro La Face
- Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico ``G. Martino'' Via Consolare Valeria 1, 98100, Messina, Italy
| | - Maria Adele Marino
- Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico ``G. Martino'' Via Consolare Valeria 1, 98100, Messina, Italy
| | - Carmelo Sofia
- Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico ``G. Martino'' Via Consolare Valeria 1, 98100, Messina, Italy
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Deshmukh SN, Maske AN, Deshpande AP, Shende SP. Transverse colon volvulus with chilaiditis syndrome. Indian J Surg 2010; 72:347-9. [PMID: 21938202 DOI: 10.1007/s12262-010-0130-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2008] [Accepted: 11/30/2008] [Indexed: 10/18/2022] Open
Abstract
UNLABELLED Volvulus of transverse colon is a rare cause of large bowel obstruction. To our knowledge only 75 cases have been reported in the world literature and additionally only three cases of transverse colon volvulus with Chilaiditis syndrome have been reported to date. Because of its rarity here we report a case of transverse colon volvulus which was indeed associated with Chilaiditis syndrome. This is probably the fourth case of Chilaiditis syndrome caused by transverse colon volvulus. ELECTRONIC SUPPLEMENTARY MATERIAL The online version of this article (doi:10.1007/s12262-010-0130-4) contains supplementary material, which is available to authorized users.
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