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Case Reports
. 2013 Aug 20:2013:bcr2013200820.
doi: 10.1136/bcr-2013-200820.

Malrotation with transverse colon volvulus in early pregnancy: a rare cause for acute intestinal obstruction

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Case Reports

Malrotation with transverse colon volvulus in early pregnancy: a rare cause for acute intestinal obstruction

Digvijoy Sharma et al. BMJ Case Rep. .

Abstract

Colonic volvulus is a relatively uncommon cause of large bowel obstruction, accounting for 10% of colonic obstructions. Volvulus of the transverse colon is quite rare, accounting for only 4-11% of all reported cases. We report an unusual case of documented volvulus of the transverse colon in a pregnant woman with intestinal malrotation and concomitant acute intestinal obstruction by congenital bands and adhesions.

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Figures

Figure 1
Figure 1
Intraoperative image showing large bowel on left side of abdomen with non-fixation of caecum and ascending colon with transverse colon volvulus (anticlockwise). Small bowel is on right side.
Figure 2
Figure 2
Intraoperative image showing the same findings.
Figure 3
Figure 3
Viable large and small bowel after de-rotation of volvulus.

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