Combined volvulus affecting transverse to sigmoid colon: a case report

Abstract

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.