Introduction. Transverse colon volvulus is an uncommon cause of bowel
obstruction in general. Predisposing factors are mental retardation,
dysmotility disorders, chronic constipation and congenital megacolon. Case
report. We presented transverse colon volvulus in a 16-year-old boy with
cerebral palsy. Chronic constipation in neurologicaly impaired patient was a
risk factor predisposing to volvulus. The patient was admitted to the
hospital with enormous abdominal distension and acute respiratory
insufficiency. A boy was emergently taken to the operating room for
exploratory laparotomy. During the surgery, a 360? clockwise volvulus of the
transverse colon was found. After reduction of volvulus, an enormous
transverse colon was resected and colostomy was formed. In the postoperative
period, despite the good functioning of stoma and intraabdominal
normotension, numerous and long lasting respiratory problems developed. The
patient was discharged from our institution after 8 months. Conclusion.
Though very rare in pediatric group, the possibility of a transverse colon
volvulus must be considered in the differential diagnosis of acute large
bowel obstruction.
Large bowel obstruction as a consequence of transverse colon volvulus: A case report