Spontaneous transverse colon volvulus in a patient with Duchenne muscular dystrophy: An unreported complication

Pietro Pitrone, MD; Antonino Cattafi, MD; Francesca Magnani, MD; Maria Ludovica Carerj, MD; Italo Giuseppe Bellone, MD; Giuseppe Nirta, MD; Enrico Monsù, MD; Dora Bonanno, MD; Renato Trimarchi, MD; Alessandro La Face, MD; Maria Adele Marino, MD; Carmelo Sofia, MD

Radiology Case Reports (Mar 2023)

Spontaneous transverse colon volvulus in a patient with Duchenne muscular dystrophy: An unreported complication

Pietro Pitrone, MD,
Antonino Cattafi, MD,
Francesca Magnani, MD,
Maria Ludovica Carerj, MD,
Italo Giuseppe Bellone, MD,
Giuseppe Nirta, MD,
Enrico Monsù, MD,
Dora Bonanno, MD,
Renato Trimarchi, MD,
Alessandro La Face, MD,
Maria Adele Marino, MD,
Carmelo Sofia, MD

Affiliations

Pietro Pitrone, MD: 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, MD: 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, MD: 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, MD: 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, MD: 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, MD: 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, MD: 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, MD: 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, MD: 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, MD: 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, MD: 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, MD: 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

Journal volume & issue: Vol. 18, no. 3
pp. 1306 – 1310

Abstract

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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.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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