Metachronous volvulus of the splenic flexure: a rarer entity

Suchin Dhamnaskar; Prashant C. Sawarkar; Sumit Mandal; Preeti Vijaykumaran

doi:10.18203/2349-2902.isj20180383

Authors

Suchin Dhamnaskar Department of General Surgery, Seth G.S. Medical College and KEM Hospital, Mumbai, Maharashtra, India
Prashant C. Sawarkar Department of General Surgery, Seth G.S. Medical College and KEM Hospital, Mumbai, Maharashtra, India
Sumit Mandal Department of General Surgery, Seth G.S. Medical College and KEM Hospital, Mumbai, Maharashtra, India
Preeti Vijaykumaran Department of General Surgery, Seth G.S. Medical College and KEM Hospital, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20180383

Keywords:

Metachronous, Splenic flexure, Volvulus

Abstract

Intestinal obstruction due to volvulus is a well-known entity in India, one of the ‘volvulus belt’ countries; but volvulus of the splenic flexure is a rare condition, even more so when metachronous. Only about half a century of citations has been mentioned in the surgical history since its first mention in literature. Our patient, a young man with a history of previous two abdominal operations presented with signs of intestinal obstruction which were confirmed by radiological findings to be volvulus of splenic flexure. Following failed attempted derotation by flatus tube, he underwent laparotomy, intraoperative derotation of the volvulus followed by resection of the involved segment and colo-colic anastomosis with diverting loop ileostomy. Apart from surgical site infection, his postoperative recovery was uneventful.

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