International journal of surgery case reports · 2024
Gangrenous transverse colon volvulus in a male patient who underwent Hartman procedure. A rare case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Kebede Molla Asnake, Gossaye Bizuayehu Tassew, Tekle Alemayehu Beharu, Gebre Tariku Gero, Mesfine Yohanes Yoseph, Abebe Tesfahun Mengistu
Аннотация
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.
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.