Yonsei Med J.  1994 Mar;35(1):97-100. 10.3349/ymj.1994.35.1.97.

Volvulus of the splenic flexure of the colon

Affiliations
  • 1Department of Surgery, Yong-Dong Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
  • 2Department of Radiology, Yong-Dong Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

Abstract

The definition of volvulus is an axial twist of a portion of the gastrointestinal tract along its mesentery. The involved bowel is obstructed partially or completely with a variable degree of arterial and venous occlusion. The colon is the most common site for volvulus. The splenic flexure is the least common site of colonic volvulus. We experienced a case of the volvulus of the splenic flexure. It will be the 30th case of the volvulus involving the splenic flexure in the English literature, to our knowledge. A 30-year-old woman was admitted due to abdominal pain and distention with vomiting. An emergency barium study revealed characteristic "bird beak" sign. Surgery was performed resecting the involved colon of splenic flexure. The result was excellent.

Keyword

Volvulus; barium enema and surgery

MeSH Terms

Adult
Barium Sulfate/diagnostic use
Case Report
Colonic Diseases/*radiography
Female
Human
Intestinal Obstruction/*radiography
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