Volvulus of the Transverse Colon: A Report of Two Cases and Review of Literature

TL;DR

This paper reports two rare cases of transverse colon volvulus, a serious condition causing bowel obstruction, and highlights the importance of timely diagnosis and treatment.

Contribution

The novelty lies in presenting two uncommon clinical cases of transverse colon volvulus and emphasizing the diagnostic and therapeutic challenges associated with this rare condition.

Findings

Transverse colon volvulus is rare and often misdiagnosed due to nonspecific symptoms.

CT scans are crucial for diagnosis, and surgical resection is necessary for definitive treatment.

Prompt diagnosis is essential to prevent complications like ischemia and perforation.

Abstract

Transverse colon volvulus is a rare cause of potentially life-threatening large bowel obstruction accounting for less than 5% of colonic volvulus cases. Its diagnosis is often delayed due to nonspecific clinical features and its rarity. We report two uncommon cases of transverse colon volvulus. The first case involves a 20-year-old female who presented with acute abdominal pain and distension. The second case is a 67-year-old female with a one-week history of progressive constipation and abdominal discomfort. Computerized tomography aids in the diagnosis and definitive management requires surgical resection. Prompt diagnosis and treatment are critical due to the risk of ischemia and perforation.

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