Abstract

Introduction

The term volvulus is derived from the Latin word meaning torsion or twisting. Anatomy of the large intestine is very clear. The colon and its mesentery twist, leading to a closed loop colonic obstruction, a more proximal intestinal obstruction, and an abdominal crisis. Colonic volvulus accounts for less than 5% of all cases of intestinal obstruction. It usually occurs in the sigmoid colon. Transverse colon volvulus (TCV) is probably the rarest form of colonic volvulus, accounting for less than 11% of all cases of colonic volvulus, but with the highest mortality.

Case study

A 60-years-old female patient presented to the emergency with sudden onset upper abdominal pain, with distended abdomen and obstipation for past 3 days. No history of fever and vomiting was present, but patient was suffering from chronic constipation since last 4 months. Family history, no such complain was present in her family member. Patient was addict for tobacco.