Transverse colon volvulus presenting as bowel obstruction, atelectasis, and displacement of the right lobe of the liver into the left upper abdominal quadrant: a case report

J Med Case Rep. 2023 Apr 9;17(1):130. doi: 10.1186/s13256-023-03840-1.

Abstract

Background: Transverse colon volvulus is an uncommon cause of intestinal obstruction. It is a surgical emergency that can lead to bowel infarction, peritonitis, and death.

Case presentation: We report a case of transverse colon volvulus in a 35-year-old Congolese immigrant man who had a rare presentation with features of intestinal obstruction associated with right lung collapse and left mediastinal shift.

Conclusion: This case is unusual because it presented with respiratory features that mimicked a pneumothorax in addition to features of intestinal obstruction. The use of point-of-care lung ultrasound was helpful in ruling out a pneumothorax, and this could help avoid situations such as unintentional chest drain insertions by other professionals who may encounter a similar case. Because transverse colon volvulus is rare, a high level of suspicion and awareness is required to make an accurate diagnosis.

Keywords: Bowel obstruction; Case report; Displacement of the right lobe of the liver; Point of care ultrasonography; Right lung collapse; Transverse colon volvulus.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Colon, Transverse* / diagnostic imaging
  • Colon, Transverse* / surgery
  • Humans
  • Intestinal Obstruction* / diagnostic imaging
  • Intestinal Obstruction* / etiology
  • Intestinal Obstruction* / surgery
  • Intestinal Volvulus* / diagnosis
  • Intestinal Volvulus* / diagnostic imaging
  • Liver
  • Male
  • Pneumothorax* / complications
  • Pulmonary Atelectasis* / diagnostic imaging
  • Pulmonary Atelectasis* / etiology