Synchronous Volvulus of Ascending and Transverse Colon

Abstract

Sisay Mengistu,1 Molla Asnake,2 Suleman Hassen,1 Biruk Mekonnen2 1Department of Surgery, College of Medicine and health Science, Mizan-Tepi University, Mizan-Aman, Ethiopia; 2School of Medicine, College of Medicine and Health Science, Mizan-Tepi University, Mizan-Aman, EthiopiaCorrespondence: Biruk Mekonnen, School of Medicine, College of Medicine and Health science, Mizan-Tepi University, P.O. Box: 520, Mizan-Aman, Ethiopia, Email [email protected]: Colonic volvulus is the torsion of a part of the colon causing large bowel obstruction by strangulation, which may lead to ischemia and then necrosis. Synchronous colonic volvulus is extremely rare; even if there are some case reports on synchronous colonic volvulus, there are no reported cases of synchronous ascending and transverse colon volvulus in the medical literature to our knowledge.Case Presentation: A 25-year-old girl with a previous history of epilepsy presented with a one-day duration of abdominal cramps with associated symptoms of vomiting of bilious matter, failure to pass faeces, and flatus of the same duration. The patient underwent surgical intervention, and ascending and transverse volvulus were discovered.Conclusion: In spite of ascending and transverse colon volvulus rarity, we advised including these in the differential diagnosis of patients associated with large bowel obstruction.Keywords: ascending colon, intestinal volvulus, large bowel obstruction, transverse colon

Keywords

• ascending colon
• intestinal volvulus
• large bowel obstruction
• transverse colon.