2025 Volume 45 Issue 7 Pages 619-622
A 68-year-old woman presented with a two-week history of colicky left lower quadrant abdominal pain. She gave a history of suffering from constipation and taking laxatives, but had no previous surgical history. Abdominal computed tomography showed distention of the transverse colon and the whirl sign in the left upper quadrant. Based on the findings, we made the diagnosis of transverse colon volvulus at the splenic flexure, and performed emergency laparoscopic surgery. Intraoperatively, the splenic flexure was found to be rotated 270°clockwise, with no signs of intestinal necrosis. We incised the adhesion that served as the shaft of the volvulus and repositioned the colon. The postoperative course was uneventful. Transverse colon volvulus is uncommon and splenic flexure volvulus has almost never been reported. Considering the operating field, laparoscopic surgery would be useful for splenic flexure volvulus.
