Very rare case of synchronous volvulus of the sigmoid colon and caecum causing large-bowel obstruction

Susmit Prosun Roy; Yeng Kwang Tay; Daniel Kozman

doi:10.1136/bcr-2018-227375

Very rare case of synchronous volvulus of the sigmoid colon and caecum causing large-bowel obstruction

BMJ Case Rep. 2019 Jan 28;12(1):bcr-2018-227375. doi: 10.1136/bcr-2018-227375.

Authors

Susmit Prosun Roy^{1

2}, Yeng Kwang Tay³, Daniel Kozman³

Affiliations

¹ Department of Medicine and Surgery, University of New South Wales - Randwick Campus, Randwick, New South Wales, Australia.
² General Surgery, Saint George Hospital, Kogarah, New South Wales, Australia.
³ Colorectal Surgery, Saint George Hospital, Kogarah, New South Wales, Australia.

Abstract

Large-bowel obstruction caused by volvulus is potentially life threatening if not managed promptly. Sigmoid colon is the most common site of volvulus followed by caecum. Synchronous double colonic volvulus is an exceedingly rare entity, with only five cases published previously. We present the case of a 77-year-old man with a synchronous sigmoid and caecal volvulus. He underwent total colectomy with ileostomy formation with a view to reverse the ileostomy at a later date.

Keywords: gastrointestinal surgery; general surgery.

Publication types

Case Reports

MeSH terms

Aged
Cecum / diagnostic imaging
Cecum / surgery
Colectomy
Colon, Sigmoid / diagnostic imaging
Colon, Sigmoid / surgery
Diagnosis, Differential
Humans
Ileostomy
Intestinal Obstruction / diagnostic imaging*
Intestinal Obstruction / etiology*
Intestinal Obstruction / surgery
Intestinal Volvulus / complications*
Intestinal Volvulus / diagnostic imaging*
Intestinal Volvulus / surgery
Male
Radiography
Sigmoid Diseases / complications*
Sigmoid Diseases / diagnostic imaging*
Sigmoid Diseases / surgery