Synchronous volvulus of the sigmoid colon and caecum, a very rare cause of large bowel obstruction

Abstract

Colonic volvulus usually occurs as a single event that can affect various parts of the colon. The usual sites affected being the sigmoid colon (75%) and the caecum (22%). The phenomenon of multiple sites simultaneously undergoing volvulus is an extremely rare occurrence. Synchronous double colonic volvulus is extremely rare and to the best of our knowledge, this is the 4th reported case of simultaneous sigmoid and caecal volvulus in the English literature. The clinical presentation and the radiological findings are that of large bowel obstruction. Classic radiological findings may not be present or may be overlooked due to its rarity. Treatment of this condition is early surgical intervention to prevent the sequalae of a colonic volvulus and its associated mortality. We report a case of an 80-year-old man with synchronous volvulus of the sigmoid colon and caecum.

Synchronous Volvulus of the Transverse Colon and Cecum Associated with Scleroderma and Lupus

“…The diagnosis was made radiographically and subsequently confirmed intraoperatively. There are few reported cases of synchronous double volvulus involving the sigmoid colon and cecum [3 , 4] ; however, none have reported concurrent involvement of the transverse colon and cecum.…”

“…There are approximately 100 cases of TCV reported in the medical literature with many of them discovered at the time of surgery [2] . Synchronous double volvulus of the sigmoid colon and cecum has been reported in the literature [3 , 4] , but never a synchronous double volvulus of the transverse colon and cecum. We present the case of a 26-year-old woman with a history of scleroderma-systemic erythematosus lupus (SLE) overlap syndrome who was discovered to have synchronous volvulus of the transverse colon and cecum on CT imaging.…”

Rare synchronous caecal and sigmoid volvulus: management of two cases

“…The decision for ileostomy was based on the presence of multiple risk factors for anastomotic leak in these patients, including age, gender, comorbidities and intraoperative findings [ 4 ]. Definitive surgical management described in previous case reports was usually subtotal colectomy with either end ileostomy [ 3 , 5 ] or ileorectal anastomosis [ 6 , 7 ]. Singh et al .…”

Cecal volvulus: A Case Report & A Literature Review

“…As a result, quick and accurate diagnosis is required to expedite treatment for this potentially fatal condition. [4] Cecal volvulus is caused by axial twisting of the cecum along with the terminal ileum and ascending colon. [5] Pathophysiologically, there are 3 types; Type 1cecal volvulus develops from clockwise axial torsion or twisting of the cecum around its mesentery, including the ascending colon and terminal ileum, TypeII -loop volvulus develops from a counter clockwise axial torsion of the cecum around its mesentery, including the ascending colon and terminal ileum, and Type III -cecal bascule involves the upward folding of the cecum rather than axial twisting.…”