Splenic Flexure Volvulus : A Case Report at Sisaket Hospital
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Published:
Nov 8, 2018
Keywords:
Intestinal Obstruction Torsion (Intestine, Large)
Main Article Content
Abstract
Among the various causes of large bowel obstruction, colonic volvulus is a rare entity. We have reported a case of splenic flexure volvulus of colon who presented at the hospital with severe abdominal pain, fever, nausea and vomiting. At the time of consultation, we found that the patient had abdominal sign of peritonitis. An abdominal radiography revealed a markedly distended colon on the left side of abdomen extending to hepatic flexure of colon. On emergency laparotomy, a gangrenous segment of splenic flexure volvulus of colon was found and resected. The resected ends were exteriorized as end colostomy and mucous fistula. The outcome was excellent.
Key words: Intestinal Obstruction, Torsion (Intestine, Large)
Article Details
How to Cite
วรรณภาสนี ล. (2018). Splenic Flexure Volvulus : A Case Report at Sisaket Hospital. MEDICAL JOURNAL OF SISAKET SURIN BURIRAM HOSPITALS, 22(2), 329–334. retrieved from https://he02.tci-thaijo.org/index.php/MJSSBH/article/view/154187
Section
Case Report
References
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2. Thomas E. Brothers, William E. Strodel, Frederic E. Eckhauser. Endoscopy in Colonic Volvulus. Annals of Surgery 1987;206(1):1-4
3. Ballantyne GH. Volvulus of the splenic flexure : report of a case and review of the literature. Dis Colon Rectum 1981;24:630-2
4. Mittal R, Samarasam I, Chandran S, Mathew G. Primary splenic flexure volvulus. Singapore Med J 2007;48(3):87-9
5. Young Up Cho, Seung Kook Sohn, Hoon Sang Chi and Ki Whang Kim. Volvulus of the splenic flexure of the colon. Yonsei Medical Journal 1994;35(1):97-100.
6. Rath PK, Abbas M, Mishra B, Narayan. Primary splenic flexure volvulus : a case report with review of literature. J Indian Med Assoc 2003;101:110-2
7. Mindelzun RE, Stone JM. Volvulus of the splenic flexure Radiographic features. Radiology 1991;181:221-3.
8. Kevin C.N. Lau, Brian J. Miller, David J. Schache, Jon R. Cohen. A study of large-bowel volvulus in urban Australia. Can J Surg 2006;49(3):203-7.
