Gangrenous transverse colon volvulus in a male patient who underwent Hartman procedure. A rare case report.

INTRODUCTION AND IMPORTANCE

Transverse colon volvulus is an uncommon cause of large bowel obstruction, often presenting as a surgical emergency. This case report details a rare instance of gangrenous transverse colon volvulus in a 50-year-old male patient with a history of Hartmann's procedure performed six years prior.

CASE PRESENTATION

The patient presented with acute abdominal pain, diffuse abdominal distension, and failure to pass feces and flatus. An emergency laparotomy was performed, revealing a gangrenous segment of the transverse colon. Despite surgical intervention, the patient died due to Multi organ failure (MOF).

DISCUSSION

A patient diagnosed with transverse colon volvulus typically presents with colicky abdominal pain, vomiting, constipation or obstipation, and abdominal distension. Physical signs may include abdominal distention, a palpable mass, circulatory collapse, fever, and leukocytosis.

CONCLUSION

This case underscores the importance of early recognition and prompt surgical intervention in managing transverse colon volvulus.