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Rare disease
CASE REPORT
Very rare case of synchronous volvulus of the sigmoid colon and caecum causing large-bowel obstruction
  1. Susmit Prosun Roy1,2,
  2. Yeng Kwang Tay3 and
  3. Daniel Kozman3
  1. 1 Department of Medicine and Surgery, University of New South Wales - Randwick Campus, Randwick, New South Wales, Australia
  2. 2 General Surgery, Saint George Hospital, Kogarah, New South Wales, Australia
  3. 3 Colorectal Surgery, Saint George Hospital, Kogarah, New South Wales, Australia
  1. Correspondence to Dr Susmit Prosun Roy, susmitprosunroy{at}gmail.com

Abstract

Large-bowel obstruction caused by volvulus is potentially life threatening if not managed promptly. Sigmoid colon is the most common site of volvulus followed by caecum. Synchronous double colonic volvulus is an exceedingly rare entity, with only five cases published previously. We present the case of a 77-year-old man with a synchronous sigmoid and caecal volvulus. He underwent total colectomy with ileostomy formation with a view to reverse the ileostomy at a later date.

  • general surgery
  • gastrointestinal surgery

http://dx.doi.org/10.1136/bcr-2018-227375

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    Footnotes

    • Patient consent for publication Obtained.

    • Contributors All three of us were involved in the care of the patient from the time he attended emergency department. All of us were involved in the surgical procedure and postoperative care of the patient. All the authors were very closely related to drafting of the case report and subsequent modification. All correspondences should be directed to SPR.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.