Ahue Kouassi Henry Noel, Goho Kouide Marius, Adon Auguste Alexandre, Coulibaly Ngolo Adama, Kpan Kunka Jocelyne, Keita Moktar
Felix Houphouët Boigny University Abidjan Ivory Coast, UFR of Medical Sciences of Abidjan, Cote d'Ivoire; General, Digestive and Endocrine Surgery Department of TREICHVILLE University Hospital, 01 B.P V 3, Abidjan 01, Cote d'Ivoire.
Felix Houphouët Boigny University Abidjan Ivory Coast, UFR of Medical Sciences of Abidjan, Cote d'Ivoire; Surgical Emergency Department of TREICHVILLE University Hospital, 01 B.P V 3, Abidjan 01, Cote d'Ivoire.
Int J Surg Case Rep. 2024 Oct;123:110312. doi: 10.1016/j.ijscr.2024.110312. Epub 2024 Sep 16.
Synchronous volvulus of the transverse and sigmoid colon is an exceedingly rare clinical presentation. The dual location of strangulation constitutes a critical surgical emergency due to the heightened risk of intestinal necrosis and septic shock. Given the rarity of this condition, there is a notable paucity of detailed information in the literature, and the management strategies are poorly codified.
We report the case of a 23-year-old man with a history of bowel transit disorders (diarrhea and constipation), who was admitted as an emergency with typical signs of acute large bowel obstruction. Initial diagnosis of sigmoid volvulus was retained; however, intraoperative findings revealed an associated volvulus of both the transverse and sigmoid colon. A left colectomy was performed followed by colorectal anastomosis. The postoperative period was uneventful.
Synchronous volvulus of the transverse and sigmoid colon is an extremely rare occurrence; it should be considered as one of the differential diagnoses of acute large bowel obstruction. There is scarcity of information in the literature regarding synchronous sigmoid and transverse colon volvulus.
Synchronous volvulus of the transverse and sigmoid colon is an exceedingly rare clinical entity. Diagnosing this condition can be difficult and the management effectiveness remains controversial. It is presumed that sigmoid volvulus is the initial event; therefore, emphasizing the need for early surgical intervention for sigmoid volvulus could potentially improve outcomes.
横结肠和乙状结肠同时发生扭转是一种极为罕见的临床表现。由于肠坏死和感染性休克风险增加，绞窄的双重部位构成了危急的外科急症。鉴于这种情况的罕见性，文献中详细信息明显匮乏，管理策略也缺乏明确规范。
我们报告一例23岁男性病例，该患者有肠道转运障碍（腹泻和便秘）病史，因急性大肠梗阻的典型症状急诊入院。最初诊断为乙状结肠扭转；然而，术中发现横结肠和乙状结肠均发生了扭转。实施了左半结肠切除术，随后进行了结直肠吻合术。术后恢复顺利。
横结肠和乙状结肠同时扭转极为罕见；应将其视为急性大肠梗阻的鉴别诊断之一。关于乙状结肠和横结肠同时扭转的文献资料匮乏。
横结肠和乙状结肠同时扭转是一种极其罕见的临床病症。诊断这种疾病可能具有挑战性，治疗效果仍存在争议。据推测乙状结肠扭转是首发事件；因此，强调对乙状结肠扭转进行早期手术干预可能会改善治疗结果。
