Splenic flexure is the rarest site for colonic volvulus. We report a case of an 18 years old woman, admitted to our department for tender and sore abdomen, nausea and vomiting. A barium enema reported a splenic flexure volvulus. Explorative laparotomy revealed peritonitis originating from an extensive gangrene of splenic flexure of the colon, caused by 360° volvulus. The colon was encircled by omentum at its base. A resection with primary anastomosis was performed. Anatomic abnormalities and partial intestinal malrotation are the main pathogenetic causes
Splenic Flexure Volvulus Presenting with Peritonitis: Case Report and Review of the Literature / Rossi, A; Manco, G; Italia, S; Ranieri, V; Sforza, N; Giliberti, G.. - 4:1(2013), pp. 1-5.
Splenic Flexure Volvulus Presenting with Peritonitis: Case Report and Review of the Literature
Rossi A;Manco G;
2013
Abstract
Splenic flexure is the rarest site for colonic volvulus. We report a case of an 18 years old woman, admitted to our department for tender and sore abdomen, nausea and vomiting. A barium enema reported a splenic flexure volvulus. Explorative laparotomy revealed peritonitis originating from an extensive gangrene of splenic flexure of the colon, caused by 360° volvulus. The colon was encircled by omentum at its base. A resection with primary anastomosis was performed. Anatomic abnormalities and partial intestinal malrotation are the main pathogenetic causes
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