Year 2025 / Volume 117 / Number 3
Letter
Transverse colon volvulus in a young patient with wandering liver

170-171

DOI: 10.17235/reed.2024.10245/2023

Natalia García Gimeno, Alberto Alegre Delgado, Francisco Navarro Vicente, Andrea Marco Marqués, Jesús Manuel Santiago Sánchez,

Abstract
We present the case of a 26-year-old male patient with no history of interest who consulted the emergency department due to occlusive symptoms. Urgent CT showed the presence of a transverse colonic volvulus in the context of a heterotopic liver, located in the left hypochondrium. There were no clinical or radiological signs of perforation or ischemia, so urgent endoscopic decompression was performed with subsequent elective surgery with a favorable resolution of the condition. Transverse colonic volvulus is rare (<1%) and wandering liver is an exceptional predisposing factor, with less than a hundred published cases. In these patients, endoscopic decompression carries a risk of perforation with high recurrence rates, and surgical treatment should be considered. However, in this case, in the absence of severity criteria, decompressive colonoscopy was considered an urgent treatment and subsequent elective surgery with favorable results.
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García Gimeno N, Alegre Delgado A, Navarro Vicente F, Marco Marqués A, Santiago Sánchez J. Transverse colon volvulus in a young patient with wandering liver. 10245/2023


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Publication history

Received: 07/01/2024

Accepted: 09/01/2024

Online First: 12/02/2024

Published: 06/03/2025

Article Online First time: 36 days

Article editing time: 424 days


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