Combined volvulus affecting transverse to sigmoid colon: a case report


  • Salma Khan Assistant Professor Department of Surgery Rehman College of Dentistry, Peshawar, Khyber Pakhtunkhwa, Pakistan
  • Haider Abid Fellow Surgical Oncology Department of Surgery Shaukat Khanum Memorial Hospital, Peshawar, Khyber Pakhtunkhwa



Intestinal volvulus, Intestinal obstruction, Intestine, Large, Laparotomy, Tomography


Colonic volvulus accounts for 1-4% of all cases of intestinal obstruction and is responsible for 10-15% cases of colonic obstruction in western countries. The most frequent sites of involvement are sigmoid colon and cecum, respectively.

Unusual sites of colonic involvement has been reported but are extremely rare. The patient usually present with signs and symptoms of intestinal obstruction and early diagnosis can avoid emergency surgery. The authors present the unusual case of volvulus which involved long segment of colon with resultant bowel ischemia and necrosis. Diagnostic modalities such Computed tomography (CT) was very helpful in making diagnosis.