scholarly journals Transverse colon volvulus in neurologicaly imparied patient as an emergency surgical condition: A case report

2017 ◽  
Vol 74 (1) ◽  
pp. 78-80
Author(s):  
Maja Milickovic ◽  
Djordje Savic ◽  
Nikola Stankovic ◽  
Miroslav Vukadin ◽  
Aleksandar Vlahovic ◽  
...  
Keyword(s):  
Case Report ◽  
Bowel Obstruction ◽  
Transverse Colon ◽  
Chronic Constipation ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Large Bowel Obstruction ◽  
Respiratory Problems ◽  
Acute Respiratory Insufficiency ◽  
Colon Volvulus

Introduction. Transverse colon volvulus is an uncommon cause of bowel obstruction in general. Predisposing factors are mental retardation, dysmotility disorders, chronic constipation and congenital megacolon. Case report. We presented transverse colon volvulus in a 16-year-old boy with cerebral palsy. Chronic constipation in neurologicaly impaired patient was a risk factor predisposing to volvulus. The patient was admitted to the hospital with enormous abdominal distension and acute respiratory insufficiency. A boy was emergently taken to the operating room for exploratory laparotomy. During the surgery, a 360? clockwise volvulus of the transverse colon was found. After reduction of volvulus, an enormous transverse colon was resected and colostomy was formed. In the postoperative period, despite the good functioning of stoma and intraabdominal normotension, numerous and long lasting respiratory problems developed. The patient was discharged from our institution after 8 months. Conclusion. Though very rare in pediatric group, the possibility of a transverse colon volvulus must be considered in the differential diagnosis of acute large bowel obstruction.

scholarly journals Large bowel obstruction as a consequence of transverse colon volvulus: A case report

2020 ◽  
Vol 76 ◽  
pp. 534-538
Author(s):  
Mohammad A. Al-Doud ◽  
Malek A. Al- Omari ◽  
Heba G. Dboush ◽  
Ahmad S. Alabbadi ◽  
Intithar E. Al- Rahamneh
Keyword(s):  
Case Report ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Transverse Colon ◽  
Large Bowel Obstruction ◽  
Colon Volvulus

scholarly journals Transverse colon volvulus in a patient with autism

2020 ◽  
Vol 2020 (9) ◽  
Author(s):  
Rony Shah ◽  
Linda Klumpp ◽  
Juan Negron-Diaz ◽  
Torr Carmain ◽  
Jeffrey Jordan ◽  
...  
Keyword(s):  
Case Report ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Transverse Colon ◽  
Rare Case ◽  
Signs And Symptoms ◽  
Large Bowel Obstruction ◽  
Bowel Infarction ◽  
Colon Volvulus ◽  
Severe Autism

Abstract Transverse colon volvulus is an extremely rare cause of bowel obstruction with approximately 100 cases reported in literature. Transverse colon volvulus presents with signs and symptoms of large bowel obstruction, but it can become a surgical emergency due to bowel infarction or peritonitis. We present a rare case of transverse colon volvulus in a 36-year-old male patient with severe autism. We hope this case report will raise awareness of this disease.

scholarly journals Sub-acute transverse colon volvulus an exceptional cause of large bowel obstruction: Case report

2021 ◽  
Vol 63 ◽  
pp. 102154
Author(s):  
Abdelilah Elbakouri ◽  
Oussama Lafkih ◽  
Zineb Abbad El Andaloussi ◽  
Mounir Bouali ◽  
Khalid Elhattabi ◽  
...  
Keyword(s):  
Case Report ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Transverse Colon ◽  
Large Bowel Obstruction ◽  
Colon Volvulus

scholarly journals Chronic Constipation in the Elderly: An Unusual Presentation of Colonic Dysmotility in an Elderly Patient

2013 ◽  
Vol 2013 ◽  
pp. 1-2
Author(s):  
R. Peravali ◽  
H. Kranenburg ◽  
J. E. Martin ◽  
N. Keeling
Keyword(s):  
Elderly Patient ◽  
Case Report ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Chronic Constipation ◽  
The Elderly ◽  
Large Bowel Obstruction ◽  
History Of ◽  
Underlying Pathology ◽  
Colonic Dysmotility

Introduction. Chronic constipation is common in the elderly, and often no underlying pathology is found. Primary colonic dysmotility has been described in children but is rare in the elderly.Case report.We present an 82-year-old female with long standing constipation presenting acutely with large bowel obstruction. Laparotomy and Hartman’s procedure was performed, and a grossly distended sigmoid colon was resected. Histology revealed a primary myopathic process.Conclusion.Primary colonic myopathy should be considered in elderly patients presenting with large bowel obstruction and a long preceding history of constipation, particularly when previous endoscopic examinations were normal.

scholarly journals Primary ileal volvulus: a rare twist in an elderly patient—case report

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Srikant Agrawal ◽  
Ashwini Ranjan Yadav ◽  
Bikash Nepal ◽  
Pramod Kumar Upadhyay
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Predisposing Factors ◽  
Threatening Condition ◽  
Life Threatening ◽  
History Of

Abstract Background Small bowel volvulus is a rare entity and it is even rarer for the ileum to undergo torsion without any known predisposing factors. It presents as acute abdomen with features of intestinal obstruction. As it is a life-threatening condition, it should be kept as a differential for small bowel obstruction despite its rarity. Therefore, we report this case. Case report A 60-year-old gentleman presented to our emergency department with a 2-day history of worsening abdominal pain, vomiting, abdominal distension and obstipation. Exploratory laparotomy was done which revealed ileal volvulus with no predisposing factors. Derotation of the segment was done. The postoperative period was uneventful and on follow up after a month, he had a satisfying recovery. Conclusion Though primary ileal volvulus is a rare diagnosis, it should be kept in mind in any patient with small bowel obstruction with pain out of proportion and resistant to opioid management. Early diagnosis and urgent surgical intervention is the key to prevent bowel necrosis and associated morbidity and mortality.

scholarly journals Transverse colon volvulus presenting as bowel obstruction: a case report

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Hamza Hasnaoui ◽  
Faouzi Laytimi ◽  
Yusuf Elfellah ◽  
Ouadii Mouaqit ◽  
El Bachir Benjelloun ◽  
...  
Keyword(s):  
Case Report ◽  
Bowel Obstruction ◽  
Transverse Colon ◽  
Colon Volvulus

scholarly journals Congenital Descending Colonic Stenosis with Perforation of Transverse Colon in a Neonate: A Case Report

2012 ◽  
Vol 32 (1) ◽  
pp. 73-75
Author(s):  
R Hamid ◽  
AH Shera ◽  
NA Bhat ◽  
A Baba ◽  
A Rashid
Keyword(s):  
Intestinal Obstruction ◽  
Sigmoid Colon ◽  
Transverse Colon ◽  
Late Onset ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Uneventful Recovery ◽  
Colonic Stenosis ◽  
Colonic Atresia ◽  
Mucous Fistula

Colonic atresia and stenosis are rare causes of intestinal obstruction in the infant. Only 10 cases have been reported in Literature since 1966 and only one late-onset case has been reported in Literature until now. We describe the case of a 3 day old baby presenting with abdominal distension, failure to pass meconium and vomiting. X-ray of the abdomen showed dilated gut loops. Exploratory laparotomy was performed. At the junction of descending and sigmoid colon a stenosis was found, laparotomy also revealed a perforation of transverse colon. Transverse colostomy and a mucous fistula of sigmoid colon was performed after resecting stenosing segment and colon distal to perforation site upto stenosing site. Diagnosis was confirmed on histopathology. Colostomy was close after six weaks with uneventful recovery. Considering both the Literature and our case, congenital colonic stenosis should be considered one of the rare differential diagnoses in a neonate presenting as complete or partial intestinal obstruction. Key words: Colonic Stenosis; Perforation; Obstruction DOI: http://dx.doi.org/10.3126/jnps.v32i1.5446   J. Nepal Paediatr. Soc. Vol.32(1) 2012 73-75  

Congenital Incomplete Rotation of the Colon With Adhesive Obstruction in an Adult

2021 ◽  
pp. 000313482110545
Author(s):  
Alissa Doll ◽  
Leander Grimm
Keyword(s):  
Case Report ◽  
Complete Resolution ◽  
Transition Point ◽  
Exploratory Laparotomy ◽  
Large Bowel Obstruction ◽  
Chronic Obstructive ◽  
Partial Obstruction ◽  
Colorectal Surgeons ◽  
Descending Colon ◽  
Adhesive Obstruction

Intestinal obstruction is an entity commonly encountered by general and colorectal surgeons. Anatomic abnormalities account for only a small fraction of cases of complete or partial obstruction. This case report focuses on a 51-year-old female presenting with acute on chronic large bowel obstruction. Workup revealed an exceedingly rare anatomic abnormality: a medialized descending colon, traveling adjacent to the abdominal aorta, with a transition point and dense bands just distal to the splenic flexure. She underwent exploratory laparotomy with division of the constrictive bands and subsequently experienced near-complete resolution of her chronic obstructive symptoms.

scholarly journals A case of colonic gallstone ileus with a spontaneous evacuation

1970 ◽  
Vol 9 (1) ◽  
pp. 47-49 ◽  
Author(s):  
A Bajracharya ◽  
OP Pathania ◽  
S Adhikary ◽  
CS Agrawal
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Gallstone Ileus ◽  
Abdominal Distension ◽  
The Elderly ◽  
Large Bowel Obstruction ◽  
High Morbidity ◽  
Diagnostic Challenge ◽  
History Of ◽  
Spontaneous Evacuation

Colonic gallstone is an uncommon entity with a high morbidity and mortality due to various reasons. It remains a diagnostic challenge because of delayed and non-specific presentations, especially in the elderly population, often with multiple co-morbidities. We present a case of colonic gallstone ileus with spontaneous evacuation in a 67 years female who had a threeday history of intermittent bouts of colicky abdominal pain, vomiting , constipation and progressive abdominal distension, features of large bowel obstruction treated non operatively for 72 hours and passage of the stone spontaneously. Keywords: gallstone ileus; large bowel obstruction; colonic gallstone DOI: 10.3126/hren.v9i1.4363Health Renaissance, 2011: Vol.9 No.1:47-49

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