Transverse colon volvulus, radiological diagnosis, and surgical management: a case report

Abstract

Transverse colon and splenic flexure volvuli are rare causes of bowel obstruction. Diagnosing transverse colon volvulus is often challenging because it is uncommon and presents with unusual clinical signs. Usually, clinicians make the final diagnosis during surgery. Delays in diagnosis significantly increase the risk of complications and death. Imaging, particularly computed tomography scans, plays a vital role in diagnosis, as it provides detailed anatomical information, identifies characteristic features, and facilitates early intervention, which is essential in preventing complications and improving patient outcomes. We present a case of a 79-year-old woman who arrived with acute abdominal pain. Prompt imaging allowed us to perform surgery in a timely manner. This case underscores the importance of radiological suspicion in diagnosing rare causes of bowel obstruction. Copyright © The Author(s) 2025. Published by Oxford University Press and JSCR Publishing Ltd.