Abstract
We present a case of strangulated obstruction of the transverse colon. The patient was a 79-year-old woman who was admitted to our hospital for sudden severe abdominal pain at night, without laparotomy history. In the following day, both computed tomography and ultrasound (US) showed intestinal expansion and increased fluid collection. Furthermore, blood flow was not detected by color Doppler US. We diagnosed the patient with strangulated obstruction of the colon. She underwent an emergency laparotomy. During laparotomy, the transverse colon was strangulated by the band between the descending colon's appendix epiploica and peritoneum. The band was resected. Partial colectomy and end-to-end anastomosis were performed. We report the clinical presentation and imaging findings of this rare case.