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.

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Jitendra Kumar Saroj

Senior Resident Department of General Surgery King George's Medical University, Lucknow, UP, India